Kalamazoo Athletic Wellness LLC

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

7501001033 Issued in MI

Legal business name

KALAMAZOO ATHLETIC WELLNESS LLC

Doing business as

Kalamazoo Athletic Wellness

Practice address

200 Turwill LN
Ste 102
Kalamazoo, MI 49006-4277

Phone

(269) 870-0156

NPI assigned

Sep 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Todd Garman, LMT

Title

Member

Phone

(269) 870-0156

Specialties & licenses 1

Addresses

Other names 1

• Kalamazoo Athletic Wellness Doing business as

Locations

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1740616499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TURWILL LN",
            "address_2": "STE 102",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064277",
            "telephone_number": "269-870-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TURWILL LN",
            "address_2": "STE 102",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490064277",
            "telephone_number": "269-870-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALAMAZOO ATHLETIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "GARMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "269-870-0156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "MI",
            "license": "7501001033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kalamazoo Athletic Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mechanotherapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Mechanotherapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.