Celestial Pyramid Massagetherapy LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

CELESTIAL PYRAMID MASSAGETHERAPY LLC

Practice address

9809 Candelaria Rd NE Ste 2B
Albuquerque, NM 87112-1459

Phone

(505) 296-2887

NPI assigned

Nov 21, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Allen Wade Braithwaite, LMTNPI 1598967846

Title

Co-Owner/Massage Therapist

Phone

(505) 296-2887

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allen Wade Braithwaite, LMT

  • Massage Therapist
  • Albuquerque, NM
  • NPI 1598967846
  NPD (past) Authorized official

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1346495066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9809 CANDELARIA RD NE STE 2B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121459",
            "telephone_number": "505-296-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9809 CANDELARIA RD NE STE 2B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121459",
            "telephone_number": "505-296-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIAL PYRAMID MASSAGETHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "BRAITHWAITE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "CO-OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "505-296-2887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.