Restora Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

RESTORA MASSAGE LLC

Practice address

2353 Rice St
Roseville, MN 55113-3739

Phone

(651) 283-6107

NPI assigned

Feb 13, 2024

Organization subpart

No

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

Authorized official

Name

Paul Kong, CMT, LMT

Title

Massage Therapist

Phone

(651) 283-6107

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Yeej Kong, CMT, LMT

  • Massage Therapist
  • Roseville, MN
  • NPI 1679337968
  NPD

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1447014188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 WHEELOCK PKWY E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303008",
            "telephone_number": "651-283-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2353 RICE ST",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133739",
            "telephone_number": "651-283-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORA MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "KONG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "651-283-6107",
        "authorized_official_credential": "CMT, LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Reinsch
• Jamie Lyn Miller Reinschmidt, MD
• Amber Marie Remackel
• Catherine Angela Renneke, RN
• Restisense Corporation
• Revealing Life Holistic Services, LLC
• Darci Elizabeth Reyerson, LPN
• Laura Michelle Rezac, MD
• Rhythm in Motion, LLC
• Richard Schoewe MD, LLC

• Massage Therapist in Roseville, MN
• Providers in Roseville, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.