Mae Massage

Primary specialty

SpecialistTaxonomy code 174400000X

License

0013383 Issued in CO

Legal business name

MAE MASSAGE

Practice address

15211 E 101St Way
Commerce City, CO 80022-9741

Phone

(720) 839-8937

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Mae Ward, CMT

Title

Certified Massage Therapist

Phone

(720) 839-8937

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1316308422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15211 E 101ST WAY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229741",
            "telephone_number": "720-839-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15211 E 101ST WAY",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229741",
            "telephone_number": "720-839-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CERTIFIED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "720-839-8937",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": "CO",
            "license": "0013383",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "0013383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Commerce City, CO
• Providers in Commerce City, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.