NPIMap

Organization Active NPI

SKK Enterprises, LLC

  • Massage Therapist
  • Eden Prairie, MN
National Provider Identifier
1346567260
Registry record updated May 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA0000 Issued in MN
Legal business name
SKK ENTERPRISES, LLC
Practice address
10165 Hennepin Town Rd
Suite 103
Eden Prairie, MN 55347-3104
Phone
(952) 405-6220
NPI assigned
May 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2010

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

Authorized official

Name
Mr. Malcolm Bruce McNeill
Title
President
Phone
(952) 212-4337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MA0000 MN Primary

Addresses

Primary practice location

10165 Hennepin Town Rd
Suite 103
Eden Prairie, MN 55347-3104

Mailing address

10165 Hennepin Town Rd
Suite 103
Eden Prairie, MN 55347-3104
Phone (952) 405-6220

Other names 1

  • elements therapeutic massage Doing business as

National Provider Directory

National Provider Directory

Locations

10165 Hennepin Town Rd
Ste 103
Eden Prairie, MN 55347
Phone (952) 405-6220

Practitioners & affiliated clinicians

Practitioners 9

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": "1272758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272758400000",
    "number": "1346567260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10165 HENNEPIN TOWN RD",
            "address_2": "SUITE 103",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553473104",
            "telephone_number": "952-405-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10165 HENNEPIN TOWN RD",
            "address_2": "SUITE 103",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553473104",
            "telephone_number": "952-405-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKK ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-02",
        "last_updated": "2010-05-02",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-212-4337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "MA0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "elements therapeutic massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2010; 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.