Elicia Kortus

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT10034 Issued in SD

Practice address

401 E 8TH St Ste 230
Sioux Falls, SD 57103-7009

Phone

(605) 951-9981

NPI assigned

Apr 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elicia Madetzke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1912361007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S GLENDALE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044533",
            "telephone_number": "605-951-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 8TH ST STE 230",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571037009",
            "telephone_number": "605-951-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTUS",
        "first_name": "ELICIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT10034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELICIA",
            "last_name": "MADETZKE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kore Cares in Home Services, LLC
• Kore Cares, LLC
• John William Korkow, CCDC3
• Chelsey M Kortan, PA-C
• Megan Jaye Kortemeyer, PT
• Donald J Kosiak Jr., MD
• Nicole Jacqueline Koskovich, PT
• Audrey M Kost
• Tori Rischelle Kostman, MD
• Allie Jean Koth, DDS

• Massage Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.