Individual provider Active NPI

Michael Louis Eayrs, MASSAGE THERAPIST

  • Specialist
  • Kalispell, MT
National Provider Identifier
1063577864
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00006603 Issued in WA
Practice address
1500 Airport Rd
Kalispell, MT 59901-5748
Phone
(406) 756-8663
Fax
(406) 257-6034
NPI assigned
Dec 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00006603 WA Primary

Addresses

Primary practice location

1500 Airport Rd
Kalispell, MT 59901-5748

Mailing address

535 W Colorado St
Kalispell, MT 59901-3517
Phone (406) 250-9616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00006603WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063577864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 W COLORADO ST",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013517",
            "telephone_number": "406-250-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 AIRPORT RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015748",
            "telephone_number": "406-756-8663",
            "fax_number": "406-257-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAYRS",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00006603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.