Active NPI
Denise Renee Edwards
- Massage Therapist
- Ballwin, MO
National Provider Identifier
1124930615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2019032328
- Practice address
- 15421 Clayton Rd
Ballwin, MO 63011-3163 - Phone
- (636) 579-9727
- NPI assigned
- Sep 19, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2019032328 | MO | Primary |
Addresses
Primary practice location
15421 Clayton Rd
Ballwin, MO 63011-3163
Mailing address
15421 Clayton Rd
Ballwin, MO 63011-3163
Phone (636) 579-9727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789776000000",
"number": "1124930615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15421 CLAYTON RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630113163",
"telephone_number": "636-579-9727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15421 CLAYTON RD",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630113163",
"telephone_number": "636-579-9727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "DENISE",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-19",
"last_updated": "2026-09-19",
"certification_date": "2026-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MO",
"license": "2019032328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.