Kenneth Koolwick · Massage Therapist

15175 N Sheldon Rd, Plymouth, MI 48170-2483

Overview

Kenneth Koolwick is a Massage Therapist practicing in Plymouth, Michigan. The National Provider Identifier (NPI) is #1396551008, which was assigned on December 6, 2024, and the registration record was last updated on December 6, 2024. The practitioner's main practice location is at 15175 N Sheldon Rd, Plymouth, MI 48170-2483; the contact telephone number is 7342071400. The primary taxonomy of Kenneth Koolwick is Massage Therapist (225700000X).

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.

Provider Information

NPI 1396551008
Entity Type Individual
Provider Name KENNETH KOOLWICK
Gender Male
Practice Address 15175 N Sheldon Rd
Plymouth
MI 48170-2483
Practice Telephone 7342071400
Mailing Address 9545 Steephollow Dr
White Lake
MI 48386-2370
Mailing Telephone 2486407369
Certification Date 2024-12-06
Enumeration Date 2024-12-06
Last Update Date 2024-12-06
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y225700000XMassage Therapist

Taxonomy Information

Primary Taxonomy

Code 225700000X
Taxonomy Massage Therapist
Classification Massage Therapist
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: 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.

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Location Information

Street Address 15175 N SHELDON RD
City PLYMOUTH
State MI
Zip Code 48170-2483
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Relaxing Rituals, LLC 15175 N Sheldon Rd, Plymouth, MI 48170-2483Massage Therapist2024-12-06

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Buschs Inc 15185 N Sheldon Rd, Plymouth, MI 48170-2483Pharmacy2005-09-08

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Macomb Primary Care, P.C 851 South Main Street, Suite #3, Plymouth, MI 48170Durable Medical Equipment & Medical Supplies2017-10-02
Mast Enterprises 40800 Five Mile Rd Ste C, Plymouth, MI 48170Home Health Agency2019-10-22
Sapna Sutariya 47751 N Territorial Rd, Plymouth, MI 48170Pharmacist2015-10-20
Alcona Citizens for Health Inc · Rudy Barba Psychiatry Service 101 S Union St Unit 101, Plymouth, MI 48170Federally Qualified Health Center (FQHC)2018-02-23
Cassandra Lee Rivard 1098 Ann Arbor Rd W, Pmb 1436, Plymouth, MI 48170Registered Dietitian2024-03-19
Bailey Karoub 40169 Newport Drive, Plymouth, MI 48170Behavioral Analyst2016-02-10
Diane Elizabeth Kuzara 496 W. Ann Arbor Trail, Suite 104, Plymouth, MI 48170Massage Therapist2017-09-13
Mindful Wellness Counseling, LLC 9266 Northern Ave, Plymouth, MI 48170Social Worker2018-09-26
Natalia Cwalina Thimg Pediatrics-Plymouth, 900 W. Ann Arbor Trail Suite 210, Pymouth, MI 48170Student in an Organized Health Care Education/Training Program2019-03-29
Brightside Medical of Michigan, P.C. Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170Psychiatry Physician2020-02-18
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.