Organization Active NPI

Preffered Massage of Int'L Falls

  • Massage Therapist
  • Intl Falls, MN
National Provider Identifier
1124142310
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PREFFERED MASSAGE OF INT'L FALLS
Practice address
1322 3Rd St Ste 4
Intl Falls, MN 56649-2129
Phone
(218) 283-2243
NPI assigned
Mar 16, 2007
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Lori Potter
Title
Owner
Phone
(218) 283-2243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

1322 3Rd St Ste 4
Intl Falls, MN 56649-2129

Mailing address

1322 3Rd St Ste 4
Intl Falls, MN 56649-2129

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1124142310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 3RD ST STE 4",
            "city": "INTL FALLS",
            "state": "MN",
            "postal_code": "566492129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 3RD ST STE 4",
            "city": "INTL FALLS",
            "state": "MN",
            "postal_code": "566492129",
            "telephone_number": "218-283-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFFERED MASSAGE OF INT'L FALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-283-2243"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Intl Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.