Devin Jamea Braaten, NMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-LMT-LIC-23187 Issued in MT

Practice address

1369 Sophie Lake Rd
Eureka, MT 59917-9139

Phone

(406) 300-2904

NPI assigned

Jul 31, 2024

Last updated

Jul 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1689403206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LEONARD LN",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599177911",
            "telephone_number": "406-300-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 SOPHIE LAKE RD",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599179139",
            "telephone_number": "406-300-2904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Leonard Ln",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MT",
            "postal_code": "599177911",
            "country_code": "US",
            "telephone_number": "406-300-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAATEN",
        "first_name": "DEVIN",
        "middle_name": "JAMEA",
        "credential": "NMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LMT-LIC-23187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Eureka, MT
• Providers in Eureka, MT by specialty
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.