Lifestyles Massage Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

LIFESTYLES MASSAGE INC

Practice address

600 Turner St
Suite 3
Auburn, ME 04210-5299

Phone

(207) 376-3233

Fax

(207) 376-3236

NPI assigned

Sep 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberley Jane Jacques, LMT

Title

Owner/President

Phone

(207) 376-3233

Specialties & licenses 1

Addresses

Other names 1

• Revelation Massage Doing business as

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1356624704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TURNER ST",
            "address_2": "SUITE 3",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105299",
            "telephone_number": "207-376-3233",
            "fax_number": "207-376-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TURNER ST",
            "address_2": "SUITE 3",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105299",
            "telephone_number": "207-376-3233",
            "fax_number": "207-376-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLES MASSAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "207-376-3233",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "organization_name": "Revelation Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Leonard, LCSW
• Sandra Marie Leone, LCPC, LSW
• Let the Light in Corporation
• Shaunte Maria Levasseur, LCSW
• Lawrence E. Levy, D.M.D., M.M.SC.
• Cherice Singee Lim, DDS
• Robert D Limoges, D.M.D.
• Linda S Lockhart, CNP
• Kacie Noelle Longacre, SLP
• Rebekah Wade Longacre, RN, WLS

• Massage Therapist in Auburn, ME
• Providers in Auburn, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.