NPIMap

Organization Active NPI

K&K Etm, LLC

  • Massage Therapist
  • Edmond, OK
National Provider Identifier
1578864955
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
K&K ETM, LLC
Practice address
1321 N Bryant Ave
Edmond, OK 73034-4951
Phone
(405) 216-5252
Fax
(405) 216-5353
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Tiffany McGowen
Title
Owner
Phone
(405) 216-5252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1321 N Bryant Ave
Edmond, OK 73034-4951

Mailing address

1321 N Bryant Ave
Edmond, OK 73034-4951
Phone (405) 216-5252

National Provider Directory

National Provider Directory

Locations

1321 N Bryant Ave
Edmond, OK 73034
Phone (405) 216-5252

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1578864955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344951",
            "telephone_number": "405-216-5252",
            "fax_number": "405-216-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730344951",
            "telephone_number": "405-216-5252",
            "fax_number": "405-216-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&K ETM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "MCGOWEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-216-5252"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.