Organization Active NPI

Restorative Massage Therapy

  • Massage Therapist
  • Davison, MI
National Provider Identifier
1306325253
Registry record updated Aug 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501010623 Issued in MI
Legal business name
RESTORATIVE MASSAGE THERAPY
Practice address
105 E 2ND St Ste 2
Davison, MI 48423-1467
Phone
(810) 510-0320
NPI assigned
Aug 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2018

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

Authorized official

Name
Jaime K Caldwell, LMTNPI 1598242505
Title
Owner/Massage Therapists
Phone
(810) 358-4336

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 7501010623 MI Primary

Addresses

Primary practice location

105 E 2ND St Ste 2
Davison, MI 48423-1467

Mailing address

4622 N Lake Rd
Columbiaville, MI 48421-8981
Phone (810) 358-4336

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": "1533945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533945600000",
    "number": "1306325253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 N LAKE RD",
            "city": "COLUMBIAVILLE",
            "state": "MI",
            "postal_code": "484218981",
            "telephone_number": "810-358-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 2ND ST STE 2",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231467",
            "telephone_number": "810-510-0320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE MASSAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-11",
        "last_updated": "2018-08-11",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPISTS",
        "authorized_official_telephone_number": "810-358-4336",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501010623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; 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.