Active NPI
Daniel Olson, MASSAGE THERAPIST
- Massage Therapist
- Viroqua, WI
National Provider Identifier
1689263410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 71980
- Practice address
- 1316 Bad Axe CT
Viroqua, WI 54665-6143 - Phone
- (608) 637-8811
- NPI assigned
- Jan 15, 2021
- Last updated
- Jan 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 71980 | CA | Primary |
Addresses
Primary practice location
1316 Bad Axe CT
Viroqua, WI 54665-6143
Mailing address
E7521 Sherpe Rd
Westby, WI 54667-8220
Phone (323) 590-8468
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 |
|---|---|---|---|
| 71980 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1689263410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E7521 SHERPE RD",
"city": "WESTBY",
"state": "WI",
"postal_code": "546678220",
"telephone_number": "323-590-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 BAD AXE CT",
"city": "VIROQUA",
"state": "WI",
"postal_code": "546656143",
"telephone_number": "608-637-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-15",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "71980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viroqua, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.