Kayla Nicole Martinez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501007108 Issued in MI

Practice address

1816 W John Beers Rd
Stevensville, MI 49127-9434

Phone

(269) 235-4784

NPI assigned

May 30, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lavender and Sage Therapeutic Massage, LLC

  • Massage Therapist
  • Stevensville, MI
  • NPI 1922525013
  NPD (past) Authorized official

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1912435470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 COLOMA RD",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490229520",
            "telephone_number": "269-235-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 W JOHN BEERS RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279434",
            "telephone_number": "269-235-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KAYLA",
        "middle_name": "NICOLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501007108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lonto, DPT
• Henry D Lyon, D.D.S.
• Jeremy Michael Malzon, MA, LPC
• Heather A Marten, MD
• Martin'S Super Markets of Stevensville LLC
• Nancy Mason, LCSW
• Robert K McIntyre, LLP NCC
• Meijer Inc.
• Flori D Mejeur, MSW
• Mercy Memorial Health Services Inc

• Massage Therapist in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.