Massage Revolution

Primary specialty

SpecialistTaxonomy code 174400000X

License

LMT 2025 Issued in MS

Legal business name

MASSAGE REVOLUTION

Practice address

210 E Capitol St
Ste M-142
Jackson, MS 39201-2306

Phone

(601) 918-1853

NPI assigned

Apr 15, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Laura Manning, LMT

Title

Partner/Owner

Phone

(601) 918-1853

Specialties & licenses 1

Addresses

Tax ID family

Massage Revolution2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Massage Revolution

  • Massage Therapist
  • Jackson, MS
  • NPI 1104253285
  NPD tax ID

Locations

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1053754580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E CAPITOL ST STE M-142",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392012306",
            "telephone_number": "601-918-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E CAPITOL ST",
            "address_2": "STE M-142",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392012306",
            "telephone_number": "601-918-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE REVOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "601-918-1853",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "LMT 2025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fortenise A Mason, CNP
• Jenee Michelle Mason, APMHNP, FNP
• John Mark Andrew Mason, MD
• Sarah Joanna Mason, PA-C
• Whitney Mason
• Massage Revolution
• John Lloyd Massey III, OTR/L
• Nellie Joann Massey
• Pamela S Massey, CFNP
• Philip Massey

• Specialist in Jackson, MS
• Providers in Jackson, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.