Active NPI
Kimberlee Kolb, LMT
- Massage Therapist
- Grand Haven, MI
National Provider Identifier
1619350873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501005050
- Practice address
- 1428 Waverly Ave
Grand Haven, MI 49417-2392 - Phone
- (616) 846-3860
- Fax
- (616) 846-2420
- NPI assigned
- Jul 7, 2015
- Last updated
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501005050 | MI | Primary |
Addresses
Primary practice location
1428 Waverly Ave
Grand Haven, MI 49417-2392
Mailing address
1428 Waverly Ave
Grand Haven, MI 49417-2392
Phone (616) 846-3860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7501005050 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspired Health Chiropractic | Massage Therapist | Past | Accepting new patients |
| Inspired Health Chiropractic PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Massage Therapist
- Grand Haven, MI
- NPI 1255729406
-
- Nutrition Chiropractor
- Grand Haven, MI
- NPI 1598023384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1619350873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1428 WAVERLY AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172392",
"telephone_number": "616-846-3860",
"fax_number": "616-846-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 WAVERLY AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172392",
"telephone_number": "616-846-3860",
"fax_number": "616-846-2420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLB",
"first_name": "KIMBERLEE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501005050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.