Mind Your Body Holistic Health LLC

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

7569 Issued in MA

Legal business name

MIND YOUR BODY HOLISTIC HEALTH LLC

Practice address

288 Walnut St
Suite 420
Newton, MA 02460-1948

Phone

(617) 969-1034

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Mitzie Ladd, LMT

Title

Owner

Phone

(617) 969-1034

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1497029441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 WALNUT ST",
            "address_2": "SUITE 420",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601948",
            "telephone_number": "617-969-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 WALNUT ST",
            "address_2": "SUITE 420",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601948",
            "telephone_number": "617-969-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND YOUR BODY HOLISTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "LADD",
        "authorized_official_first_name": "MITZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-969-1034",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "MA",
            "license": "7569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen Miller
• Steven L Miller, MD
• Elizabeth Rothwell Millette, LICSW
• Frederick Millham, MD
• Virginia Mills, PT
• Emma Mints, NP
• Karen A Miranda, PSY.D., LMHC
• Danielle Mirisola
• Michael J Misialek, MD
• Liliana Barbosa Misteroni, BSW

• Mechanotherapist in Newton, MA
• Providers in Newton, MA by specialty
• Mechanotherapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.