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1861728958 NPI number — TONI MARIE KELLOGG CLMT

NPI Number: 1861728958
Health Care Provider/Practitioner: TONI MARIE KELLOGG CLMT

Information about “1861728958” NPI (TONI MARIE KELLOGG CLMT) exists in 1861728958 in HTML format HTML  |  1861728958 in plain Text format TXT  |  1861728958 in PDF (Portable Document Format) PDF  |  1861728958 in an XML format XML  formats.

NPI Number : 1861728958 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1861728958",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KELLOGG",
    "FirstName": "TONI",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "CLMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "928 LAZELLE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STURGIS",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57785-1601",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-720-1295",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "928 LAZELLE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STURGIS",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57785-1674",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-720-1295",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/23/2009",
    "LastUpdateDate": "10/23/2009",
    "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": "500",
        "LicenseNumberStateCode": "SD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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