Toni Marie Kellogg, CLMT

Individual provider Active NPI Massage Therapist · Sturgis, SD

NPI 1861728958 · NPPES record last updated Oct 23, 2009

Key facts

NPI
1861728958
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
500 (SD)
Practice address
928 Lazelle St
Sturgis, SD 57785-1674
Phone
(605) 720-1295
NPI assigned
Oct 23, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 500 SD Yes

Addresses

Primary practice location

928 Lazelle St
Sturgis, SD 57785-1674

Mailing address

928 Lazelle
Sturgis, SD 57785-1601
Phone (605) 720-1295

Other providers in Sturgis, SD

All providers in Sturgis, SD · Massage Therapist in South Dakota

Sources for this page

Verify at the official NPI Registry.