Mandala Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MANDALA MASSAGE

Practice address

215 SE 6TH St Ste 207
Grants Pass, OR 97526-2471

Phone

(541) 761-8262

NPI assigned

Dec 27, 2022

Organization subpart

No

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

Authorized official

Name

Tanya Suzanne Allen, LMT

Title

Owner

Phone

(541) 761-8262

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1225741994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 AZALEA DR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975268297",
            "telephone_number": "541-761-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SE 6TH ST STE 207",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262471",
            "telephone_number": "541-761-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-761-8262",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Malan, CADC I, QMHA
• Kimberly Ambrosia Malfabon, FNP-C
• Kayla Brooke Malik
• Alexander Malloy, QMHA
• Nancy Niehoff Malone, FNP
• Camille S. Manger, MASSAGE THERAPIST
• Rebyl Kaye Manning
• Griffin Neil Mansell, PA-C
• Jennifer Manzanarez, QMHA
• Isabella Rose Maranghi, M.S. CCC-SLP

• Massage Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.