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.
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 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 225700000X | Massage Therapist |
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. |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Hong Li | 2908 1st Ave, Seattle, WA 98121-1009 | Massage Therapist | 2025-01-11 |
Brittany R Montalvan | 3463 Castle Glen Dr Apt 1b, San Diego, CA 92123-2414 | Massage Therapist | 2025-01-10 |
Nicole Uikilifi | 908 4th Ave, San Bruno, CA 94066-3217 | Massage Therapist | 2025-01-10 |
Nathan Kittrell | 11825 Lake Victoria Gardens Ave, Palm Beach Gardens, FL 33410 | Massage Therapist | 2025-01-10 |
Addison Leigh Lipe | 1001 W Oak St Ste 210, Bozeman, MT 59715-8757 | Massage Therapist | 2025-01-10 |
Denise Marie Grabowski | 3944 Florida Blvd Ste 103, Palm Beach Gardens, FL 33410-2271 | Massage Therapist | 2025-01-11 |
Efren Andujar | 41 Hackensack St # 2, East Rutherford, NJ 07073-1413 | Massage Therapist | 2025-01-11 |
Natkhanaporn Knoell | 4431 Ledge Ave, Toluca Lake, CA 91602-2404 | Massage Therapist | 2025-01-10 |
Fangaeo Chowsoun | 145 E Washington St, Sequim, WA 98382-4107 | Massage Therapist | 2025-01-10 |
Amber Koompin | 845 W Center St Ste L201, Pocatello, ID 83204-4205 | Massage Therapist | 2025-01-10 |
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Street Address |
15175 N SHELDON RD |
City | PLYMOUTH |
State | MI |
Zip Code | 48170-2483 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Relaxing Rituals, LLC | 15175 N Sheldon Rd, Plymouth, MI 48170-2483 | Massage Therapist | 2024-12-06 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Buschs Inc | 15185 N Sheldon Rd, Plymouth, MI 48170-2483 | Pharmacy | 2005-09-08 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Macomb Primary Care, P.C | 851 South Main Street, Suite #3, Plymouth, MI 48170 | Durable Medical Equipment & Medical Supplies | 2017-10-02 |
Mast Enterprises | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | Home Health Agency | 2019-10-22 |
Sapna Sutariya | 47751 N Territorial Rd, Plymouth, MI 48170 | Pharmacist | 2015-10-20 |
Alcona Citizens for Health Inc · Rudy Barba Psychiatry Service | 101 S Union St Unit 101, Plymouth, MI 48170 | Federally Qualified Health Center (FQHC) | 2018-02-23 |
Cassandra Lee Rivard | 1098 Ann Arbor Rd W, Pmb 1436, Plymouth, MI 48170 | Registered Dietitian | 2024-03-19 |
Bailey Karoub | 40169 Newport Drive, Plymouth, MI 48170 | Behavioral Analyst | 2016-02-10 |
Diane Elizabeth Kuzara | 496 W. Ann Arbor Trail, Suite 104, Plymouth, MI 48170 | Massage Therapist | 2017-09-13 |
Mindful Wellness Counseling, LLC | 9266 Northern Ave, Plymouth, MI 48170 | Social Worker | 2018-09-26 |
Natalia Cwalina | Thimg Pediatrics-Plymouth, 900 W. Ann Arbor Trail Suite 210, Pymouth, MI 48170 | Student in an Organized Health Care Education/Training Program | 2019-03-29 |
Brightside Medical of Michigan, P.C. | Telemedicine Services Only / No Physical Office, Telemedicine Services Only / No Physical, MI 48170 | Psychiatry Physician | 2020-02-18 |
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Kenneth A Liu · Kenneth Ankai Liu | 27309 Madison Ave, Temecula, CA 92590-5685 | Pediatrics Physician | 2006-03-09 |
Kenneth A. Neifield, M.D., P.L. · Kenneth A. Neifeld, M.D. | 2191 9th Ave N, Suite 110, Saint Petersburg, FL 33713-7147 | Internal Medicine Physician | 2007-11-19 |
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Okeysolom Kenneth Oradiegwu Jr. · Keso Kenneth Oradiegwu Jr. | 11917 Gateway Blvd W Ste G, El Paso, TX 79936-7479 | General Practice Dentistry | 2021-06-23 |
Michael Kenneth Wolfe · Michael Kenneth Paap | 200 Dickinson St., Mc #8218, San Diego, CA 92103 | Student in an Organized Health Care Education/Training Program | 2021-05-07 |
Kenneth Eugene Holland, Jr., Dds, Ms, PLLC · Kenneth E Holland, Jr, Dds, Ms | 13821 N 35th Dr, Suite 1, Phoenix, AZ 85053-5541 | Orthodontics and Dentofacial Orthopedic Dentist | 2007-05-11 |
Kenneth Scott · Kenneth Danziger | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | Mental Health Counselor | 2008-05-11 |
Kenneth Dsniel Freeman · Kenneth Daniel Freeman | 2501 Atlantic Ave, Long Beach, CA 90806-2708 | Addiction (Substance Use Disorder) Counselor | 2019-06-06 |
Kenneth Browne | 6815 W Capitol Dr Ste 208, Milwaukee, WI 53216-2056 | Addiction (Substance Use Disorder) Counselor | 2021-12-19 |
Kenneth Ryan Shackelford · Kenneth Ryan Hess | 1405 N Truman Blvd, Festus, MO 63028-1177 | Family Nurse Practitioner | 2023-09-08 |
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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 |
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. |