KRISTOPHER GROVE LMT NPI 1063146454

NPI Information

NPI: 1063146454
Provider Name: KRISTOPHER GROVE, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
321 E MILWAUKEE ST
JANESVILLE, WI
ZIP 53545
Phone: (608) 554-0894
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Kristopher Grove, LMT is a massage therapist in Janesville, WI. 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. Kristopher Grove, LMT NPI is 1063146454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

321 E MILWAUKEE ST
JANESVILLE, WI
ZIP 53545-015
Phone: (608) 554-0894

The enumeration date for this NPI number is 7/12/2022 and was last updated on 9/9/2022.

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		13928	WISCONSIN	Yes

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: 5/5/2024

NPI Synchronization or Removal

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