Bonnie Marie Hastings, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-LIC-11815 Issued in MT

Practice address

725 W Alder St Ste 20
Missoula, MT 59802-4099

Phone

(406) 493-1115

NPI assigned

Jan 24, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deep Tissue Massage Group, Inc.

  • Massage Therapist
  • Missoula, MT
  • NPI 1184195182
  NPD (past)

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1083366835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10562 SLEEMAN CREEK RD",
            "city": "LOLO",
            "state": "MT",
            "postal_code": "598478515",
            "telephone_number": "512-294-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W ALDER ST STE 20",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024099",
            "telephone_number": "406-493-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "BONNIE",
        "middle_name": "MARIE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT046978",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LIC-11815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvest Wholeness Center LLC
• Gary Phillip Harvey, MD
• Whitney Kay Haseman, M.D.
• Naomi Dee Hasenyager, LCPC
• Robert Hasquet
• Katherine M Hastings
• William Charles Hastings, D.O.
• Carly Jordan Hatfield, DNP, PMHNP-BC
• Haley Hatfield, MSW
• Courtney Iverson Hathaway, MD

• Massage Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.