Active NPI
Kirk David Hammel, CMT
- Massage Therapist
- Houghton, MI
National Provider Identifier
1871724344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 576097-09
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 576097-09 | MI | MD | Massage 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.