Active NPI
Kathleen Giese, LMT, BCTMB
- Massage Therapist
- Watersmeet, MI
National Provider Identifier
1881059368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501014193
- Practice address
- E19410 Miller Rd
Watersmeet, MI 49969-9718 - Phone
- (920) 948-8836
- NPI assigned
- Dec 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4377-146 | WI | |
| Massage Therapist | 225700000X | 7501014193 | MI | Primary |
Addresses
Primary practice location
E19410 Miller Rd
Watersmeet, MI 49969-9718
Mailing address
E19410 Miller Rd
Watersmeet, MI 49969-9718
Phone (920) 948-8836
Other practice location 1
W1494 County Road Tw
Theresa, WI 53091-9708
Phone (920) 488-4569
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7501014193 | Other | MI | AUTO OWNERS INSURANCE |
| 7501014193 | Other | MI | PROGRESSIVE GROUP OF INSURANCE COMPANIES |
| 7501014193 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
| 7501014193 | Medicaid | MI |
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 |
|---|---|---|---|
| 7501014193 | MI | MD | Massage Therapist |
| 4377-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647993600000",
"number": "1881059368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "E19410 MILLER RD",
"city": "WATERSMEET",
"state": "MI",
"postal_code": "499699718",
"telephone_number": "920-948-8836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E19410 MILLER RD",
"city": "WATERSMEET",
"state": "MI",
"postal_code": "499699718",
"telephone_number": "920-948-8836"
}
],
"practiceLocations": [
{
"address_1": "W1494 County Road Tw",
"address_purpose": "LOCATION",
"city": "Theresa",
"state": "WI",
"postal_code": "530919708",
"country_code": "US",
"telephone_number": "920-488-4569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIESE",
"first_name": "KATHLEEN",
"credential": "LMT, BCTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-28",
"last_updated": "2022-03-23",
"certification_date": "2022-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "4377-146",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501014193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUTO OWNERS INSURANCE",
"identifier": "7501014193",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROGRESSIVE GROUP OF INSURANCE COMPANIES",
"identifier": "7501014193",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MICHIGAN",
"identifier": "7501014193",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7501014193",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watersmeet, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.