NPIMap

Organization Active NPI

Deep Tissue Massage Group, Inc.

  • Massage Therapist
  • Missoula, MT
National Provider Identifier
1184195182
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
DEEP TISSUE MASSAGE GROUP, INC.
Doing business as
Deep Tissue Massage Group, Inc.
Practice address
725 W Alder St Ste 20
Missoula, MT 59802-4099
Phone
(406) 493-1115
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Camarin Metcalf, L.M.T.
Title
President/Owner
Phone
(406) 493-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

725 W Alder St Ste 20
Missoula, MT 59802-4099

Mailing address

725 W Alder St Ste 20
Missoula, MT 59802-4099
Phone (406) 493-1115

Other names 1

  • Deep Tissue Massage Group, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

725 W Alder St
Ste 20
Missoula, MT 59802
Phone (406) 240-3732

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1184195182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W ALDER ST STE 20",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024099",
            "telephone_number": "406-493-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W ALDER ST STE 20",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024099",
            "telephone_number": "406-493-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP TISSUE MASSAGE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "CAMARIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "406-493-1115",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deep Tissue Massage Group, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.