Katheryn Rekow, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG1340 Issued in ID

Practice address

1390 S Maple Grove Rd # 200
Boise, ID 83709-1610

Phone

(208) 672-0100

NPI assigned

Feb 7, 2019

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

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.

• Juke Chiropractic PLLC

  • Chiropractor
  • Boise, ID
  • NPI 1528840576
  NPD (past)

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1750846382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S MAPLE GROVE RD # 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091610",
            "telephone_number": "208-672-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S MAPLE GROVE RD # 200",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091610",
            "telephone_number": "208-672-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKOW",
        "first_name": "KATHERYN",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Ann Reis
• Christopher Andrew Reising, M.D.
• Lydia Belle Reissmann
• Adrienne Demi Reiswig, AUD
• Joseph J Reitan, DPT
• Relax a Back Bodyworks LLC
• Reliant Senior Living LLC
• Ramon Addison Relyea, PA-C
• Rem Idaho, LLC
• Michaela Remley, RN, BSN

• Massage Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.