NPIMap

Organization Active NPI

Tree of Life Massage and Wellness LLC

  • Massage Therapist
  • Albuquerque, NM
National Provider Identifier
1306238324
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6324 Issued in NM
Legal business name
TREE OF LIFE MASSAGE AND WELLNESS LLC
Practice address
5310 Homestead Rd NE
Suite 202a
Albuquerque, NM 87110-1437
Phone
(505) 205-9910
NPI assigned
Feb 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Authorized official

Name
Chrystal B Copeland, LMT
Title
Owner
Phone
(505) 205-9910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 6324 NM Primary

Addresses

Primary practice location

5310 Homestead Rd NE
Suite 202a
Albuquerque, NM 87110-1437

Mailing address

5310 Homestead Rd NE
Suite 202a
Albuquerque, NM 87110-1437
Phone (505) 205-9910

Other names 1

  • Tree of Life Massage Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1306238324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE",
            "address_2": "SUITE 202A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101437",
            "telephone_number": "505-205-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE",
            "address_2": "SUITE 202A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101437",
            "telephone_number": "505-205-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE MASSAGE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-205-9910",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "6324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree of Life Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.