Angel Foster'S Massage Studio, PLLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

MA58664 Issued in FL

Legal business name

ANGEL FOSTER'S MASSAGE STUDIO, PLLC

Practice address

19111 W 10 Mile Rd
Suite 224
Southfield, MI 48075-2417

Phone

(727) 400-2052

NPI assigned

May 13, 2016

Organization subpart

No

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

Authorized official

Name

Angel Foster, LMT

Title

Owner/ LMT

Phone

(727) 400-2052

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1538515002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 W 10 MILE RD",
            "address_2": "SUITE 224",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 W 10 MILE RD",
            "address_2": "SUITE 224",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752417",
            "telephone_number": "727-400-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL FOSTER'S MASSAGE STUDIO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "OWNER/ LMT",
        "authorized_official_telephone_number": "727-400-2052",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "MA58664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Southfield, MI
• Providers in Southfield, MI by specialty
• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.