Cheryl Marie McClendon, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15137-146 Issued in WI

Practice address

230 S Main St Ste 108
Jefferson, WI 53549-1625

Phone

(414) 736-1136

NPI assigned

Jul 19, 2024

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

Other names 1

• Cheryl Marie Timm Former name

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": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1982442240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST STE 108",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491625",
            "telephone_number": "414-736-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST STE 108",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491625",
            "telephone_number": "414-736-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLENDON",
        "first_name": "CHERYL",
        "middle_name": "MARIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "15137-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "TIMM",
            "middle_name": "MARIE",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lydia Macgregor
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• Marie Ann Maxwell-Jones, O.T.R.
• Dani McCaffery
• Karlee McCue
• Melissa Meboe, MSSW
• Jennifer Ann Meindel, APNP, FNP-BC
• Lisa Mendell
• Margaret R Messler, CSW

• Massage Therapist in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.