Matthew Phillip Caffee, LMT
Individual provider Active NPI Massage Therapist · Sioux Falls, SD
NPI 1821759952 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1821759952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT11516 (SD)
- Practice address
- 7640 S Louise Ave
Sioux Falls, SD 57108-5999 - Phone
- (605) 941-2747
- NPI assigned
- Dec 30, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| MT11516 | SD | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT11516 | SD | Yes |
Addresses
Primary practice location
7640 S Louise Ave
Sioux Falls, SD 57108-5999
Mailing address
4105 N Montana Ave
Sioux Falls, SD 57107-6888
Phone (605) 929-3023
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT11516 | Medicaid | SD |
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All providers in Sioux Falls, SD · Massage Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2021. 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.