Organization Active NPI

P&C Massage

Doing business as SIster Rosalind Massage

  • Massage Therapist
  • Saint Paul, MN
National Provider Identifier
1477814168
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
P&C MASSAGE
Doing business as
SIster Rosalind Massage
Practice address
621 Cleveland Ave S
Saint Paul, MN 55116-1241
Phone
(651) 698-9123
Fax
(651) 699-5526
NPI assigned
May 30, 2012
Last updated
May 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Mr. Corey D Han
Title
Owner/President
Phone
(651) 698-9123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

621 Cleveland Ave S
Saint Paul, MN 55116-1241

Mailing address

621 Cleveland Ave S
Saint Paul, MN 55116-1241
Phone (651) 698-9123

Other names 1

  • SIster Rosalind Massage Doing business as

National Provider Directory

National Provider Directory

Locations

621 Cleveland Ave S
Saint Paul, MN 55116
Phone (651) 690-1788

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1477814168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161241",
            "telephone_number": "651-698-9123",
            "fax_number": "651-699-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161241",
            "telephone_number": "651-698-9123",
            "fax_number": "651-699-5526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&C MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "651-698-9123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIster Rosalind Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.