Organization Active NPI

Holliday Hills Medical Massage and Spa LLC

  • Massage Therapist
  • Bonners Ferry, ID
National Provider Identifier
1225668254
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HOLLIDAY HILLS MEDICAL MASSAGE AND SPA LLC
Practice address
6451 McCall St
Bonners Ferry, ID 83805-8525
Phone
(208) 920-0571
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Holliday HillNPI 1831738921
Title
Licensed Massage Therpaist
Phone
(208) 920-0571

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

6451 McCall St
Bonners Ferry, ID 83805-8525

Mailing address

1562 Blue Sky Rd
Bonners Ferry, ID 83805-5629
Phone (208) 946-7883

National Provider Directory

National Provider Directory

Locations

6451 McCall St
Bonners Ferry, ID 83805
Phone (208) 920-0571

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": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1225668254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1562 BLUE SKY RD",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055629",
            "telephone_number": "208-946-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 MCCALL ST",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838058525",
            "telephone_number": "208-920-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIDAY HILLS MEDICAL MASSAGE AND SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "HOLLIDAY",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERPAIST",
        "authorized_official_telephone_number": "208-920-0571"
    },
    "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 Bonners Ferry, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.