Active NPI
Kenneth L Siegford, MASSAGE THERAPIST
- Massage Therapist
- Aitkin, MN
National Provider Identifier
1881324994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 601 Bunker Hill Dr
Aitkin, MN 56431-1864 - Phone
- (218) 670-0599
- Fax
- (218) 216-8986
- NPI assigned
- Jun 13, 2022
- 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 | Primary |
Addresses
Primary practice location
601 Bunker Hill Dr
Aitkin, MN 56431-1864
Mailing address
38400 Dove St
Aitkin, MN 56431-2191
Phone (218) 670-0599
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aitkin Acupuncture LLC | Current | Accepting new patients |
Locations
601 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 670-0005
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1881324994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38400 DOVE ST",
"city": "AITKIN",
"state": "MN",
"postal_code": "564312191",
"telephone_number": "218-670-0599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BUNKER HILL DR",
"city": "AITKIN",
"state": "MN",
"postal_code": "564311864",
"telephone_number": "218-670-0599",
"fax_number": "218-216-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGFORD",
"first_name": "KENNETH",
"middle_name": "L",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aitkin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.