{
"Npi": {
"NPI": "1487519955",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KLAUSING",
"FirstName": "ANGELA",
"MiddleName": "RENEE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "LMT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MCCOLLOCH",
"OtherFirstName": "ANGELA",
"OtherMiddleName": "RENEE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "LMT",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1611 TIFFIN AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FINDLAY",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45840-6821",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "419-420-1555",
"MailingAddressFaxNumber": "419-420-1556",
"FirstLinePracticeLocationAddress": "1611 TIFFIN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FINDLAY",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45840-6821",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "419-420-1555",
"PracticeLocationAddressFaxNumber": "419-420-1556",
"EnumerationDate": "12/17/2025",
"LastUpdateDate": "12/17/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "33.014518",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}