Kathleen Dakter, CMT
Individual provider Active NPI Massage Therapist · Wisconsin Dells, WI
NPI 1760645162 · NPPES record last updated Jul 7, 2008
Key facts
- NPI
- 1760645162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2359-046 (WI)
- Practice address
- 3720 9TH Dr
Wisconsin Dells, WI 53965-8500 - Phone
- (608) 254-6022
- Fax
- (608) 254-2611
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2359-046 | WI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2359-046 | WI | Yes |
Addresses
Primary practice location
3720 9TH Dr
Wisconsin Dells, WI 53965-8500
Mailing address
3720 9TH Dr
Wisconsin Dells, WI 53965-8500
Phone (608) 254-6022
Other providers in Wisconsin Dells, WI
- Daniel John Bodnar
- Elizabeth R Bostwick
- Breanna Carley
- David L. Clemens
- Nicole M Clemens
- Brenna Davis
- Dean Health Systems, Inc.
- Dells Dental
- Dells Hearing Care LLC
- Demiree Marie Dexter
All providers in Wisconsin Dells, WI · Massage Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.