Organization Active NPI

Blissful Performance Massage LLC

  • Massage Therapist
  • Mendota Heights, MN
National Provider Identifier
1255149886
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BLISSFUL PERFORMANCE MASSAGE LLC
Practice address
790 S Plaza Dr Ste 100
Mendota Heights, MN 55120-1802
Phone
(763) 339-8008
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Alisa YangNPI 1346058971
Title
Owner/Massage Therapist
Phone
(763) 339-8007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

790 S Plaza Dr Ste 100
Mendota Heights, MN 55120-1802

Mailing address

3440 Belt Line Blvd Apt 208
Saint Louis Park, MN 55416-2607
Phone (763) 339-8007

National Provider Directory

National Provider Directory

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": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1255149886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 BELT LINE BLVD APT 208",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554162607",
            "telephone_number": "763-339-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 S PLAZA DR STE 100",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201802",
            "telephone_number": "763-339-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFUL PERFORMANCE MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "763-339-8007"
    },
    "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 Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.