Tracy M Klein, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501001334 Issued in MI

Practice address

3501 Lake Eastbrook Blvd SE Ste 345
Grand Rapids, MI 49546-5964

Phone

(602) 301-1378

NPI assigned

Jul 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1568089712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 FRANKLIN ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071324",
            "telephone_number": "602-301-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 LAKE EASTBROOK BLVD SE STE 345",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465964",
            "telephone_number": "602-301-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501001334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.MassageBook.com/biz/grpeaceplace",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3501 Lake Eastbrook Blvd SE Ste 345",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495465964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Kay Klein, COTA
• Holly Ann Klein
• Kaitlin Klein
• Kasey Lynn Klein, LLMSW
• Lauren Klein
• Bridgett Kleis
• Karena Suzanne Kleiver, P.T.
• Brittany Klemish, LLMSW
• Sarah L Klemm, M.S., CGC
• Mathew Klemp, LMSW

• Massage Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.