Wellness Massage and Integrated Therapies PLLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WELLNESS MASSAGE AND INTEGRATED THERAPIES PLLC

Practice address

675 E 16TH St Ste 55
Holland, MI 49423-5807

Phone

(616) 796-4848

NPI assigned

May 25, 2021

Organization subpart

No

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

Authorized official

Name

Madison Barense

Title

Owner

Phone

(616) 796-4347

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632960000000",
    "number": "1285209833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 E 16TH ST APT 207",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494239173",
            "telephone_number": "616-710-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E 16TH ST STE 55",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235807",
            "telephone_number": "616-796-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MASSAGE AND INTEGRATED THERAPIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A",
        "authorized_official_last_name": "BARENSE",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-796-4347"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wellnessmassage@use.startmail.com",
            "affiliation": "N",
            "endpointDescription": "Business direct",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "509 Michigan Ave",
            "city": "Holland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494234750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Massage Therapist in Holland, MI
• Providers in Holland, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.