Catherine Mingledorff

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501011507 Issued in MI

Practice address

233 Fulton St E Ste 210E
Grand Rapids, MI 49503-3261

Phone

(616) 425-9550

NPI assigned

Jan 2, 2023

Last updated

Jan 2, 2023By the provider in NPPES

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

Other names 1

• Beth Mingledorff Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1790498087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 SPENCER ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055207",
            "telephone_number": "773-251-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 FULTON ST E STE 210E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033261",
            "telephone_number": "616-425-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGLEDORFF",
        "first_name": "CATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501011507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beth@radicalbodywork.com",
            "affiliation": "N",
            "address_1": "233 Fulton St E Ste 210E",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495033261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "MINGLEDORFF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mindful Trajectories
• Mindmap
• John E Miner, MD
• Paige Miner
• Sophie Eileen Miner
• Tyler Mink, MA, LPC
• Whitney Ann Mink
• Tella Katarina Minkkinen, PT
• Katherine Elizabeth Minks, LMSW
• Kenneth D Minks, M.D.

• Massage Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.