Massage Space, Co.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

MASSAGE SPACE, CO.

Practice address

4152 W Spring Creek Pkwy Ste 116
Plano, TX 75024-5315

Phone

(972) 612-5363

Fax

(972) 612-5782

NPI assigned

Nov 6, 2008

Organization subpart

No

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

Authorized official

Name

Anatoly V. Kolmakov

Title

Owner

Phone

(972) 612-5363

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093969792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 W SPRING CREEK PKWY STE 116",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245315",
            "telephone_number": "972-612-5363",
            "fax_number": "972-612-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 W SPRING CREEK PKWY STE 116",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245315",
            "telephone_number": "972-612-5363",
            "fax_number": "972-612-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE SPACE, CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOLMAKOV",
        "authorized_official_first_name": "ANATOLY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-612-5363"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shania Rachel Mason
• Olivia Masonheimer, PA
• Amir M Masoud, OD
• Masr P. Corp
• Mirna Nabil Masri, D.C.
• Janna L Massar, MD
• Jessica Masserano, LDN
• Robert Masson, LCDC
• Bilal Master, DPM
• Sabra Ragsdale Masters

• Health Maintenance Organization in Plano, TX
• Providers in Plano, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.