Active NPI
Jennifer Klein, LCMT
- Massage Therapist
- White Bear Lake, MN
National Provider Identifier
1902133085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1310 Highway 96 E
Suite 204a
White Bear Lake, MN 55110-3624 - Phone
- (651) 429-0661
- Fax
- (651) 429-0575
- NPI assigned
- Nov 10, 2009
- Sex
- Female
- 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
1310 Highway 96 E
Suite 204a
White Bear Lake, MN 55110-3624
Mailing address
1310 Highway 96 E
Suite 204a
White Bear Lake, MN 55110-3624
Phone (651) 429-0661
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1902133085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 HIGHWAY 96 E",
"address_2": "SUITE 204A",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103624",
"telephone_number": "651-429-0661",
"fax_number": "651-429-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 HIGHWAY 96 E",
"address_2": "SUITE 204A",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103624",
"telephone_number": "651-429-0661",
"fax_number": "651-429-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "LCMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-10",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Bear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.