1. Home
  2. Directory
  3. Wisconsin
  4. Kenosha
  5. Massage Therapist
  6. NPI Profile

LACHETTA BROADWAY
NPI 1982459053
Massage Therapist in Kenosha, WI

Active since April 22, 2024
520 58TH ST STE 106, KENOSHA, WI 53140(262) 551-1317 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lachetta Broadway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACHETTA BROADWAY (NPI 1982459053) is an individual massage therapist in Kenosha, Wisconsin, licensed in Wisconsin (12380-146) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1982459053
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameLACHETTA BROADWAY
Location Address520 58TH ST STE 106Kenosha, WI 53140-4114
Mailing Address2401 2nd StKenosha, WI 53140-1052 · (262) 551-1317
Phone(262) 551-1317
Sole ProprietorYes
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1982459053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in WI · 12380-146
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.
520 58TH ST STE 106, Kenosha, WI 53140
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lachetta Broadway's NPI number?

The NPI number for Lachetta Broadway is 1982459053. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Lachetta Broadway located?

Lachetta Broadway practices at 520 58th St Ste 106, Kenosha, WI 53140. The listed phone number is (262) 551-1317.

What is Lachetta Broadway's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Lachetta Broadway was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.