Organization Active NPI

Southwest Michigan Integrative Massage Center, PLLC

  • Massage Therapist
  • Saint Joseph, MI
National Provider Identifier
1194665992
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SOUTHWEST MICHIGAN INTEGRATIVE MASSAGE CENTER, PLLC
Practice address
2907 Division St Ste 112
Saint Joseph, MI 49085-2472
Phone
(269) 369-7010
NPI assigned
Mar 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Tina Wenona Latham-Enix, LMTNPI 1114196086
Title
Owner/Member
Phone
(269) 369-7010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2907 Division St Ste 112
Saint Joseph, MI 49085-2472

Mailing address

2907 Division St Ste 112
Saint Joseph, MI 49085-2472
Phone (269) 369-7010

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1194665992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 DIVISION ST STE 112",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852472",
            "telephone_number": "269-369-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 DIVISION ST STE 112",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852472",
            "telephone_number": "269-369-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MICHIGAN INTEGRATIVE MASSAGE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "LATHAM-ENIX",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "WENONA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "269-369-7010",
        "authorized_official_credential": "LMT"
    },
    "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 Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.