Individual provider Active NPI

Kindra Hedeen, LMT

  • Massage Therapist
  • Sioux Falls, SD
National Provider Identifier
1750145439
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT11104 Issued in SD
Practice address
5010 E Rosa Parks PL
Suite 201B
Sioux Falls, SD 57110
Phone
(605) 518-9408
NPI assigned
Feb 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT11104 SD Primary

Addresses

Primary practice location

5010 E Rosa Parks PL
Suite 201B
Sioux Falls, SD 57110

Mailing address

5010 E Rosa Parks PL Ste 201
Sioux Falls, SD 57110-3122
Phone (605) 518-9408

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

LicenseStateTypeSpecialty
MT11104SDMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1750145439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 E ROSA PARKS PL STE 201",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571103122",
            "telephone_number": "605-518-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E ROSA PARKS PL",
            "address_2": "SUITE 201B",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57110",
            "telephone_number": "605-518-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDEEN",
        "first_name": "KINDRA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-12",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT11104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.