NPIMap

Organization Active NPI

Miracle Massage Day Spa

  • Massage Therapist
  • North Las Vegas, NV
National Provider Identifier
1033660790
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
NVMT6638 Issued in NV
Legal business name
MIRACLE MASSAGE DAY SPA
Practice address
3415 W Craig Rd
Sute 209
North Las Vegas, NV 89032-5110
Phone
(702) 636-8598
NPI assigned
Oct 18, 2016
Organization subpart
Yes
Parent organization
MIRACLE MASSAGE DAY SPAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nathaly Soto Gonzalez, LMT
Title
Massage Therapist
Phone
(702) 756-5356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X NVMT6638 NV Primary

Addresses

Primary practice location

3415 W Craig Rd
Sute 209
North Las Vegas, NV 89032-5110

Mailing address

3300 E Webb Ave
North Las Vegas, NV 89030-7288
Phone (702) 756-5356

Other names 1

  • Nathaly Soto Gonzalez Other name

National Provider Directory

National Provider Directory
Tax ID family
Miracle Massage Day Spa LLC3 organizations share this tax ID, including this one
Part of
Miracle Massage Day Spa LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1033660790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 E WEBB AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307288",
            "telephone_number": "702-756-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 W CRAIG RD",
            "address_2": "SUTE 209",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890325110",
            "telephone_number": "702-636-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MASSAGE DAY SPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIRACLE MASSAGE DAY SPA",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "SOTO GONZALEZ",
        "authorized_official_first_name": "NATHALY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "702-756-5356",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT6638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nathaly Soto Gonzalez",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.