Verde Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

VERDE MASSAGE LLC

Doing business as

Verde Massage

Practice address

434 S Main St Ste 2
Camp Verde, AZ 86322-7383

Phone

(928) 239-5502

NPI assigned

Apr 29, 2024

Last updated

May 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Caleb Lee Davison, LMTNPI 1780430785

Title

Managing Member

Phone

(928) 451-6915

Specialties & licenses 1

Addresses

Other names 1

• Verde Massage Doing business as

Locations

Practitioners 3

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.

• Caleb Lee Davison, LMT

  • Massage Therapist
  • Camp Verde, AZ
  • NPI 1780430785
  NPD Authorized official
• Sonia Maria Castrita

  • Massage Therapist
  • Camp Verde, AZ
  • NPI 1659129682
  NPD
• Allison Novak, LMT

  • Massage Therapist
  • Camp Verde, AZ
  • NPI 1730037409

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1467208454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 S MAIN ST STE 2",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227383",
            "telephone_number": "928-239-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 S MAIN ST STE 2",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227383",
            "telephone_number": "928-239-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "928-451-6915",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Verde Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Jared Taylor, D.O.
• Jon Thompson, LMT
• Michael Eugene Turner, DC
• Victor Rafael Vellon, DDS
• Verde Dental Care, LLC
• Verde Vista Care and Rehab, Inc
• Walgreen Co (Walgreens #12385)
• Deborah A Wasson, FNP
• Brian Wattenbarger
• Daria L Weir, MA

• Massage Therapist in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.