Organization Active NPI

Balanced Body Massage

  • Massage Therapist
  • Rapid City, SD
National Provider Identifier
1417526039
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BALANCED BODY MASSAGE
Practice address
2040 W Main St Ste 312
Rapid City, SD 57702-2447
Phone
(605) 941-7174
NPI assigned
Jun 18, 2021
Last updated
Jun 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Authorized official

Name
Ms. Erin Leaech
Title
Owner
Phone
(605) 941-7174

Specialties & licenses 1

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

Addresses

Primary practice location

2040 W Main St Ste 312
Rapid City, SD 57702-2447

Mailing address

629 S Minnesota Ave Ste 104
Sioux Falls, SD 57104-4875

National Provider Directory

National Provider Directory

Locations

2040 W Main St
Ste 312
Rapid City, SD 57702
Phone (605) 519-5223

629 S Minnesota Ave
Ste 104
Sioux Falls, SD 57104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623974400000",
    "number": "1417526039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S MINNESOTA AVE STE 104",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571044875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W MAIN ST STE 312",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022447",
            "telephone_number": "605-941-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A",
        "authorized_official_last_name": "LEAECH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-941-7174",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.