Kasey Callahan

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227.022769 Issued in IL

Practice address

106 S Vicksburg St Ste B
Marion, IL 62959-1930

Phone

(618) 992-2322

NPI assigned

Aug 17, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1548043946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E GOODALL ST APT B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629593016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S VICKSBURG ST STE B",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591930",
            "telephone_number": "618-992-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "KASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227022769",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.022769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Price Buss, CRNA
• Danielle Butler, PA-C
• Lisa Butler
• Richard Scott Byars, R.PH.
• Barbara Cain, BS
• Kristine Alyssa Camarador, PT
• Meadow Brooke Campbell
• Sarah Canty Cannon, D.M.D
• Cape Prosthetics-Orthotics, Inc.
• Marsha Lynn Capel, PTA

• Massage Therapist in Marion, IL
• Providers in Marion, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.