Organization Active NPI

Heaventree Massage

  • Massage Therapist
  • Roseville, MN
National Provider Identifier
1396502159
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HEAVENTREE MASSAGE
Practice address
2353 Rice St Ste 130
Roseville, MN 55113-3770
Phone
(651) 356-8931
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Mrs. Christina Vang Her, LMT
Title
Business Owner
Phone
(651) 356-8931

Specialties & licenses 1

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

Addresses

Primary practice location

2353 Rice St Ste 130
Roseville, MN 55113-3770

Mailing address

2353 Rice St Ste 130
Roseville, MN 55113-3770
Phone (651) 356-8931

National Provider Directory

National Provider Directory

Locations

2353 Rice St
Ste 130
Roseville, MN 55113
Phone (651) 356-8931

Practitioners & affiliated clinicians

Practitioners 1

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": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1396502159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2353 RICE ST STE 130",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133770",
            "telephone_number": "651-356-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 RICE ST STE 130",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133770",
            "telephone_number": "651-356-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENTREE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "VANG HER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "651-356-8931",
        "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": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.