Active NPI
Tiffany Rose Knighten, CMT
- Massage Therapist
- Douglas, WY
National Provider Identifier
1861619793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1510 E Richards St
Douglas, WY 82633-2941 - Phone
- (307) 351-1711
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | WY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1510 E Richards St
Douglas, WY 82633-2941
Mailing address
1312 Caspar CT
Douglas, WY 82633-2856
Phone (307) 351-1711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861619793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 CASPAR CT",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332856",
"telephone_number": "307-351-1711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 E RICHARDS ST",
"city": "DOUGLAS",
"state": "WY",
"postal_code": "826332941",
"telephone_number": "307-351-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHTEN",
"first_name": "TIFFANY",
"middle_name": "ROSE",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.