Kelly Niileksela, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501016269 Issued in MI

Practice address

54354 State Highway M203
Hancock, MI 49930-9448

Phone

(906) 281-4806

NPI assigned

Jun 27, 2024

Last updated

Jun 27, 2024By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Authentic Wellness, LLC

  • Professional Counselor
  • Hancock, MI
  • NPI 1396484366

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1952146441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499300022",
            "telephone_number": "906-299-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54354 STATE HIGHWAY M203",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499309448",
            "telephone_number": "906-281-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIILEKSELA",
        "first_name": "KELLY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501016269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Louise Narhi, PTA
• Jonathan Neufeld, MD
• Colleen Ney
• Erin Nichols, PTA
• Jeremy Michael Nicoski
• North Coast Counseling Services, LLC
• Northern Orthotics & Prosthetics, Inc
• Amy Nosal, CHW
• Dawn Nulf, MD
• Angelica Monique Nunez, LAT, ATC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.