NPIMap

Organization Active NPI

Sacred Hands Massage & Wellness

  • Specialist
  • Woonsocket, RI
National Provider Identifier
1164809133
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MT01868 Issued in RI
Legal business name
SACRED HANDS MASSAGE & WELLNESS
Practice address
719 Front St
Suite 107
Woonsocket, RI 02895-5287
Phone
(401) 769-4263
Fax
(401) 921-4499
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Michael Jae Dorval, LMT
Title
Owner/Massage Therapist
Phone
(401) 824-9897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MT01868 RI Primary

Addresses

Primary practice location

719 Front St
Suite 107
Woonsocket, RI 02895-5287

Mailing address

719 Front St
Suite 107
Woonsocket, RI 02895-5287
Phone (401) 769-4263

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1164809133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 FRONT ST",
            "address_2": "SUITE 107",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028955287",
            "telephone_number": "401-769-4263",
            "fax_number": "401-921-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 FRONT ST",
            "address_2": "SUITE 107",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028955287",
            "telephone_number": "401-769-4263",
            "fax_number": "401-921-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HANDS MASSAGE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "DORVAL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAE",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "401-824-9897",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "RI",
            "license": "MT01868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woonsocket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.