Active NPI
Heather Jean Kierczak
- Massage Therapist
- Ann Arbor, MI
National Provider Identifier
1952662397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 589605-10
- Practice address
- 6111 Jackson Rd
Suite 108
Ann Arbor, MI 48103-9167 - Phone
- (734) 216-1582
- NPI assigned
- Jun 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 589605-10 | MI | Primary |
Addresses
Primary practice location
6111 Jackson Rd
Suite 108
Ann Arbor, MI 48103-9167
Mailing address
PO Box 580
Saline, MI 48176-0580
Phone (734) 216-1582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 589605-10 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1952662397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 580",
"city": "SALINE",
"state": "MI",
"postal_code": "481760580",
"telephone_number": "734-216-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 JACKSON RD",
"address_2": "SUITE 108",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481039167",
"telephone_number": "734-216-1582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERCZAK",
"first_name": "HEATHER",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "589605-10",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.