I Kneaded This

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

015353-1 Issued in NY

Legal business name

I KNEADED THIS

Doing business as

I Kneaded This

Practice address

6454 Montgomery St
Rhinebeck, NY 12572-1360

Phone

(845) 337-1266

NPI assigned

Mar 19, 2018

Last updated

Mar 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa Palmer, MASSAGE THERAPIST

Title

Owner

Phone

(845) 337-1266

Specialties & licenses 1

Addresses

Other names 1

• I Kneaded This Doing business as

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1679077424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SPRUCE LN",
            "city": "CLINTON CORNERS",
            "state": "NY",
            "postal_code": "125142623",
            "telephone_number": "845-242-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6454 MONTGOMERY ST",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721360",
            "telephone_number": "845-337-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I KNEADED THIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-337-1266",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "015353-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I Kneaded This",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.