NPIMap

Organization Active NPI

Massage Tea LC

  • Massage Therapist
  • Redford, MI
National Provider Identifier
1326315433
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MASSAGE TEA LC
Practice address
27003 Plymouth Rd
Redford, MI 48239-2343
Phone
(313) 744-7055
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Andre LatelyNPI 1689941783
Title
President
Phone
(313) 516-5536

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 Primary

Addresses

Primary practice location

27003 Plymouth Rd
Redford, MI 48239-2343

Mailing address

PO Box 4388
Detroit, MI 48204-0388
Phone (313) 516-5536

National Provider Directory

National Provider Directory

Locations

27003 Plymouth Rd
Redford, MI 48239
Phone (313) 744-7055

Practitioners & affiliated clinicians

Practitioners 2

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": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1326315433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4388",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482040388",
            "telephone_number": "313-516-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27003 PLYMOUTH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482392343",
            "telephone_number": "313-744-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE TEA LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "LATELY",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-516-5536"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.