Tangere Therapeutics, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

TANGERE THERAPEUTICS, LLC

Practice address

4090 Marshall Rd
Suite 2
Kettering, OH 45429-5168

Phone

(937) 298-4325

Fax

(937) 504-5009

NPI assigned

Jan 15, 2016

Organization subpart

No

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

Authorized official

Name

Jennifer Phibbs, LMT

Title

Owner

Phone

(937) 298-4325

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1452816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452816000000",
    "number": "1235596685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4090 MARSHALL RD",
            "address_2": "SUITE 2",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295168",
            "telephone_number": "937-298-4325",
            "fax_number": "937-504-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4090 MARSHALL RD",
            "address_2": "SUITE 2",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295168",
            "telephone_number": "937-298-4325",
            "fax_number": "937-504-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANGERE THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-15",
        "last_updated": "2016-01-15",
        "status": "A",
        "authorized_official_last_name": "PHIBBS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-298-4325",
        "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": []
}

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• Massage Therapist in Kettering, OH
• Providers in Kettering, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.