Organization Active NPI

Incline Village Massage and Bodyworks LLC

  • Massage Therapist
  • Incline Village, NV
National Provider Identifier
1427361161
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
NVMT 2830 Issued in NV
Legal business name
INCLINE VILLAGE MASSAGE AND BODYWORKS LLC
Practice address
923 Incline Way
# 21
Incline Village, NV 89451-9765
Phone
(775) 831-2123
NPI assigned
Jul 23, 2010
Last updated
Jul 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Michael S Dooley, LMT, MMPNPI 1164735809
Title
Manager
Phone
(775) 831-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NVMT 2830 NV Primary

Addresses

Primary practice location

923 Incline Way
# 21
Incline Village, NV 89451-9765

Mailing address

PO Box 6401
Incline Village, NV 89450-6401
Phone (775) 831-2123

National Provider Directory

National Provider Directory

Locations

923 Incline Way
Ste 21
Incline Village, NV 89451
Phone (775) 831-2123

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": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1427361161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6401",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894506401",
            "telephone_number": "775-831-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 INCLINE WAY",
            "address_2": "# 21",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894519765",
            "telephone_number": "775-831-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCLINE VILLAGE MASSAGE AND BODYWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-831-2123",
        "authorized_official_credential": "LMT, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT 2830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Incline Village, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.