Active NPI
Good Medicine Acupuncture & Massage, LLC
Doing business as Good Medicine Acupuncture & Massage
- Acupuncturist
- Missoula, MT
National Provider Identifier
1245002930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- GOOD MEDICINE ACUPUNCTURE & MASSAGE, LLC
- Doing business as
- Good Medicine Acupuncture & Massage
- Practice address
- 308 W Pine St Ste 150
Missoula, MT 59802-4120 - Phone
- (406) 531-6280
- NPI assigned
- Oct 25, 2023
- Last updated
- Nov 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessi Brock, LMT
- Title
- Owner/President
- Phone
- (406) 531-6280
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
308 W Pine St Ste 150
Missoula, MT 59802-4120
Mailing address
308 W Pine St Ste 150
Missoula, MT 59802-4120
Phone (406) 531-6280
Other names 1
- Good Medicine Acupuncture & Massage
National Provider Directory
National Provider DirectoryLocations
308 W Pine St
Ste 150
Missoula, MT 59802
Phone (406) 531-6280
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Missoula, MT
- NPI 1376917245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698883200000",
"number": "1245002930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 W PINE ST STE 150",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024120",
"telephone_number": "406-531-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 W PINE ST STE 150",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024120",
"telephone_number": "406-531-6280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD MEDICINE ACUPUNCTURE & MASSAGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-25",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A",
"authorized_official_last_name": "BROCK",
"authorized_official_first_name": "JESSI",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "406-531-6280",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Good Medicine Acupuncture & Massage",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.