Melissa Gildehaus, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2009027974 Issued in MO

Practice address

6244 Highway 100 Ste 230
Washington, MO 63090-6467

Phone

(636) 239-8443

NPI assigned

Sep 10, 2019

Last updated

Sep 10, 2019By the provider in NPPES

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

Electronic endpoints 1

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1912556143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 MILLSTONE CT",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630907109",
            "telephone_number": "636-795-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6244 HIGHWAY 100 STE 230",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906467",
            "telephone_number": "636-239-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDEHAUS",
        "first_name": "MELISSA",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2009027974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Paper",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Paper",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Paper",
            "address_1": "6244 Highway 100 Ste 230",
            "city": "Washington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630906467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Nicole Gawlik, PA
• Jessica Lynn Gengler, D.O.
• Lawrence Myles Gerstein, DC
• Sanjay Ghosh, PHD MD
• Keith Gildehaus, M.D.
• Charles McClelland Gill Jr., MD
• Jodi Elaine Glosemeyer, OTR/L
• D. Bruce Glover Jr., D.O.
• Emily Jane Glover, MD
• Sudhanshu Gogia, MD

• Massage Therapist in Washington, MO
• Providers in Washington, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; 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.