KELLY ELAINE ACKERMAN CMT NPI 1437627353

NPI Information

NPI: 1437627353
Provider Name: KELLY ELAINE ACKERMAN, CMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
203 COOPER AVE N STE 160
SAINT CLOUD, MN
ZIP 56303
Phone: (320) 309-7284
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Kelly Elaine Ackerman, CMT is a massage therapist in Saint Cloud, MN. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Kelly Elaine Ackerman, CMT NPI is 1437627353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

203 COOPER AVE N STE 160
SAINT CLOUD, MN
ZIP 56303-418
Phone: (320) 309-7284

The enumeration date for this NPI number is 11/8/2018 and was last updated on 11/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist			MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20-1889495	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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