Simply Devine Massage Therapy, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SIMPLY DEVINE MASSAGE THERAPY, LLC

Practice address

5009 Excelsior Blvd
Suite 152
St Louis Park, MN 55416-3041

Phone

(612) 599-8768

Fax

(763) 535-8511

NPI assigned

Oct 21, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Erin Devine Parker, M.T.NPI 1841526191

Title

President/Owner

Phone

(612) 599-8768

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.

• Erin Devine Parker, M.T.

  • Massage Therapist
  • St Louis Park, MN
  • NPI 1841526191
  NPD (past) Authorized official

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1366778615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 EXCELSIOR BLVD",
            "address_2": "SUITE 152",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163041",
            "telephone_number": "612-599-8768",
            "fax_number": "763-535-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 EXCELSIOR BLVD",
            "address_2": "SUITE 152",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554163041",
            "telephone_number": "612-599-8768",
            "fax_number": "763-535-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY DEVINE MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "DEVINE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "612-599-8768",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Simoneau
• Akhsa Simonovich, FNP
• Gina M Simonson, OTRL
• Jay S Simonson
• Joshua Christopher Simonson, MD
• Jillian Nicole Simpson, PSYD, LP,
• Kurt R Simpson
• Erin Marie Sinkoff, O.D.
• Sirius Inc
• Mahilet Sisay, CNP

• Massage Therapist in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.