Kelly Marie Hansen, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501003433 Issued in MI

Practice address

3010 Wilson Ave SW
Grandville, MI 49418-1242

Phone

(616) 249-8141

Fax

(616) 249-8147

NPI assigned

Oct 13, 2014

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

Credentials

Medical Technician

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.

• Apogee Therapy Center, LLC

  • Physical Therapist
  • Grandville, MI
  • NPI 1972860252
  NPD (past)

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1942604475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181242",
            "telephone_number": "616-249-8141",
            "fax_number": "616-249-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181242",
            "telephone_number": "616-249-8141",
            "fax_number": "616-249-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501003433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Davie Hamby, PA-C
• Lisa Hamilton
• Madison Hanfland, BEHAVIOR TECHNICIAN
• Mya Mary Hanna, BEHAVIOR TECHNICIAN
• Meagan Hanners, PTA
• Isaac Harding
• Amy Elizabeth Harmon, D.D.S.
• Lauren J M Harvey, PA-C
• Katherine Hauge, LPC
• Molly Jane Hausbeck

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.