Organization Active NPI

Cha'Lique Medical Massage Spa

  • Massage Therapist
  • Southaven, MS
National Provider Identifier
1245919968
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
CHA'LIQUE MEDICAL MASSAGE SPA
Practice address
3964 Goodman Rd E Ste 122
Southaven, MS 38672-8709
Phone
(901) 283-8290
NPI assigned
Jul 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Chalondas Reed-Phillips
Title
Owner
Phone
(901) 283-8290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3964 Goodman Rd E Ste 122
Southaven, MS 38672-8709

Mailing address

PO Box 154
Southaven, MS 38671-0002
Phone (901) 283-8290

National Provider Directory

National Provider Directory

Locations

3964 Goodman Rd E
Ste 122
Southaven, MS 38672
Phone (901) 283-8290

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": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1245919968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 154",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386710002",
            "telephone_number": "901-283-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 GOODMAN RD E STE 122",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728709",
            "telephone_number": "901-283-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHA'LIQUE MEDICAL MASSAGE SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "REED-PHILLIPS",
        "authorized_official_first_name": "CHALONDAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-283-8290"
    },
    "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 Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.

Verify at the official NPI Registry.