Individual provider Active NPI

Chrissie Jo Holzer-Magness

  • Massage Therapist
  • South St Paul, MN
National Provider Identifier
1205334802
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
00006668 Issued in MN
Practice address
625 Southview Blvd Ste B
South St Paul, MN 55075-2345
Phone
(612) 248-5217
NPI assigned
Jan 29, 2018
Last updated
Jan 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 00006668 MN Primary

Addresses

Primary practice location

625 Southview Blvd Ste B
South St Paul, MN 55075-2345

Mailing address

301 7TH Ave S
South St Paul, MN 55075-2505
Phone (701) 412-4928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00006668MNMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517184000000",
    "number": "1205334802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 7TH AVE S",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550752505",
            "telephone_number": "701-412-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SOUTHVIEW BLVD STE B",
            "city": "SOUTH ST PAUL",
            "state": "MN",
            "postal_code": "550752345",
            "telephone_number": "612-248-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZER-MAGNESS",
        "first_name": "CHRISSIE",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "00006668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South St Paul, MN

Sources for this page

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