Star Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

STAR MASSAGE, LLC

Practice address

44 E Spaulding Ave
BLD 3, Ste 3
Pueblo West, CO 81007

Phone

(515) 897-8824

NPI assigned

Jan 31, 2022

Organization subpart

No

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

Authorized official

Name

Christy Cook, LMTNPI 1376055848

Title

Owner

Phone

(515) 897-8824

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.

• Christy Marie Cook

  • Massage Therapist
  • Pueblo, CO
  • NPI 1376055848
  NPD Authorized official

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1457004384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E SPAULDING AVE",
            "address_2": "BLD 3, STE 3",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "81007",
            "telephone_number": "515-897-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E SPAULDING AVE",
            "address_2": "BLD 3, STE 3",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "81007",
            "telephone_number": "515-897-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-897-8824",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.