Individual provider Active NPI

Kirk David Hammel, CMT

  • Massage Therapist
  • Houghton, MI
National Provider Identifier
1871724344
Registry record updated Dec 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
576097-09 Issued in MI
Practice address
47964 Madeleine St
Houghton, MI 49931-2816
Phone
(906) 221-3102
NPI assigned
Aug 1, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 576097-09 MI Primary

Addresses

Primary practice location

47964 Madeleine St
Houghton, MI 49931-2816

Mailing address

PO Box 290
Dollar Bay, MI 49922-0290
Phone (906) 483-0161

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

State licenses

LicenseStateTypeSpecialty
576097-09MIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1249084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1871724344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "DOLLAR BAY",
            "state": "MI",
            "postal_code": "499220290",
            "telephone_number": "906-483-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47964 MADELEINE ST",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499312816",
            "telephone_number": "906-221-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMEL",
        "first_name": "KIRK",
        "middle_name": "DAVID",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-01",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "576097-09",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.