Active NPI
Cha'Lique Medical Massage Spa
- Massage Therapist
- Southaven, MS
National Provider Identifier
1245919968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryLocations
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.
-
- Massage Therapist
- Southaven, MS
- NPI 1407535339
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.