Molly M Egeberg, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

092005 Issued in IA

Practice address

407 W Bridge Rd Ste 8
Polk City, IA 50226-2310

Phone

(515) 984-6484

NPI assigned

Mar 21, 2022

Last updated

Mar 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Justin R Sands D.C. PLLC

  dba Sands Clinic of Chiropractic

  • Chiropractor
  • Polk City, IA
  • NPI 1477881167
  NPD

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1790434454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SE 8TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500213506",
            "telephone_number": "515-720-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W BRIDGE RD STE 8",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502262310",
            "telephone_number": "515-984-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGEBERG",
        "first_name": "MOLLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "092005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Davis, ARNP
• Judith Detmering, R.N.
• Discovery Children's Learning Center and Preschool Inc (Discovery Children's Center)
• Douglas a Layton DO
• Douglas a Layton DO, PLLC
• Enhance Performance Therapy, LLC
• Ewaluh Holdings PLLC
• Crystal Feldman, RN
• Traci Ann Friedman, OD
• George T. Kappos, MD

• Massage Therapist in Polk City, IA
• Providers in Polk City, IA by specialty
• Massage Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.