Celina Mae McKenzie, BCTMB, CR, CIMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

560863-08 Issued in MN

Practice address

315 Walnut St
Monticello, MN 55362-8839

Phone

(612) 702-1338

NPI assigned

Mar 12, 2013

Sex

Female

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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1700127057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 173RD AVE SE",
            "city": "BECKER",
            "state": "MN",
            "postal_code": "553085101",
            "telephone_number": "612-702-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WALNUT ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628839",
            "telephone_number": "612-702-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "CELINA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "BCTMB, CR, CIMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "560863-08",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Kellee Mattis
• Donald Maus, MD
• Amy McCalla
• Joseph McCrone, CRNA
• Kelley M McGowan, PT
• Eric Andrew Melendez, DPT
• Anna Christine Messerly, DPT
• Bill Everett Mickle, D.C.
• Mid-Minnesota Neurology Clinic, P.a.
• Midwest Rehabilitation Supply, LLC

• Massage Therapist in Monticello, MN
• Providers in Monticello, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.