Organization Active NPI

Kyle M Hierholzer LMT

  • Massage Therapist
  • Baldwinsville, NY
National Provider Identifier
1780096974
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
025375 Issued in NY
Legal business name
KYLE M HIERHOLZER LMT
Practice address
99 E Oneida St
Baldwinsville, NY 13027-2717
Phone
(315) 569-4549
NPI assigned
May 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
Kyle Hierholzer, LMT
Title
Massage Therapist
Phone
(315) 569-4549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 025375 NY Primary

Addresses

Primary practice location

99 E Oneida St
Baldwinsville, NY 13027-2717

Mailing address

99 E Oneida St
Baldwinsville, NY 13027-2717
Phone (315) 569-4549

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1780096974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E ONEIDA ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272717",
            "telephone_number": "315-569-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E ONEIDA ST",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272717",
            "telephone_number": "315-569-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE M HIERHOLZER LMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-22",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "HIERHOLZER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "315-569-4549",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "025375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.