Organization Active NPI

S & S Spa Salon Inc

  • Massage Therapist
  • Forest Lake, MN
National Provider Identifier
1295699387
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
S & S SPA SALON INC
Practice address
280 12TH St SW
Forest Lake, MN 55025-3778
Phone
(651) 464-6612
Fax
(651) 982-0374
NPI assigned
Dec 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Amber Kunz, LMT
Title
Massage Therapist
Phone
(651) 464-6612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

280 12TH St SW
Forest Lake, MN 55025-3778

Mailing address

280 12TH St SW
Forest Lake, MN 55025-3778
Phone (612) 464-6612

Other identifiers 1

IdentifierTypeStateIssuer
250541OtherMNLMT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kathy@adeviaspa.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

280 12th St SW
Forest Lake, MN 55025
Phone (651) 464-6612

NPI Registry JSON

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

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1295699387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 12TH ST SW",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550253778",
            "telephone_number": "612-464-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 12TH ST SW",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550253778",
            "telephone_number": "651-464-6612",
            "fax_number": "651-982-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & S SPA SALON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-12",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "KUNZ",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "651-464-6612",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMT",
            "identifier": "250541",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kathy@adeviaspa.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FAX",
            "address_1": "280 12th St SW",
            "city": "Forest Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550253778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.