Productive Relaxation Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

PRODUCTIVE RELAXATION MASSAGE LLC

Practice address

5673 147TH St N
Hugo, MN 55038-9302

Phone

(952) 693-9085

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Jessica VaudrinNPI 1245019736

Title

Massage Therapist

Phone

(952) 693-9085

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Vaudrin

  • Massage Therapist
  • Hugo, MN
  • NPI 1245019736
  NPD Authorized official
• Cassadaeh Maguel Collins Jr.

  • Massage Therapist
  • Golden Valley, MN
  • NPI 1184567331
  NPD (past)
• Michaela Keel, DC

  • Chiropractor
  • Golden Valley, MN
  • NPI 1427811371
  NPD (past)

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727481600000",
    "number": "1164263273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 147TH ST N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550389302",
            "telephone_number": "952-693-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 147TH ST N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550389302",
            "telephone_number": "952-693-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODUCTIVE RELAXATION MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A",
        "authorized_official_last_name": "VAUDRIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "952-693-9085"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Pankratz, PA-C
• PDG, P.a.
• Tammy Marie Peterson, MA, LADC, LPCC
• Michael S Petronack, O.D.
• Arlie Jean Post, PTA
• Katy Ras, PHARM D
• Alec James Rautenberg
• Nicole E Riley, NNP
• Victoria Rivard
• Allison Elizabeth Roehrich

• Massage Therapist in Hugo, MN
• Providers in Hugo, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.