Active NPI
Blissful Performance Massage LLC
- Massage Therapist
- Mendota Heights, MN
National Provider Identifier
1255149886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alisa Yang
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryPractitioners & 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.