Trish L Dragosh, M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1375 Issued in WI

Practice address

500 Lawe St
Kaukauna, WI 54130-2022

Phone

(920) 766-3741

Fax

(920) 766-4217

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Medical Technician

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Breitbach Dragosh Chiropractic Clinic, S.C.

  • Chiropractor
  • Kaukauna, WI
  • NPI 1134211311
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710041751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LAWE ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302022",
            "telephone_number": "920-766-3741",
            "fax_number": "920-766-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LAWE ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302022",
            "telephone_number": "920-766-3741",
            "fax_number": "920-766-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGOSH",
        "first_name": "TRISH",
        "middle_name": "L",
        "credential": "M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Diedrick, OT
• Samantha Joan Diver, RN
• Holly L Doughty, LPC
• Anthony James Dragosh, D.C.
• Marilyn Rae Dragosh, D.C.
• Mark Arthur Ebben, OD OPTOMETRIST
• William J. Farrow, D.D.S.
• Amy Fehlauer, PTA
• Staci Ferg, BCBA
• Robin M Fischer, LPC

• Massage Therapist in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.