NPIMap

Organization Active NPI

Isabell & Eve Therapeutic Massage LLC

  • Massage Therapist
  • Chippewa Falls, WI
National Provider Identifier
1043556236
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10834-146 Issued in WI
Legal business name
ISABELL & EVE THERAPEUTIC MASSAGE LLC
Practice address
1650 Hallie Rd
Chippewa Falls, WI 54729-6521
Phone
(715) 382-3392
NPI assigned
Dec 17, 2012
Last updated
Dec 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Authorized official

Name
Ms. Summer Ashlyn Pena-Olson, LMTNPI 1982909180
Title
Massage Therapist
Phone
(715) 382-3392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 10834-146 WI Primary

Addresses

Primary practice location

1650 Hallie Rd
Chippewa Falls, WI 54729-6521

Mailing address

14959 205TH St
Jim Falls, WI 54748-1822
Phone (715) 382-3392

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1043556236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14959 205TH ST",
            "city": "JIM FALLS",
            "state": "WI",
            "postal_code": "547481822",
            "telephone_number": "715-382-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HALLIE RD",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547296521",
            "telephone_number": "715-382-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABELL & EVE THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "PENA-OLSON",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "ASHLYN",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "715-382-3392",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "10834-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.