Massage Heights Shoal Creek

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2007037586 Issued in MO

Legal business name

MASSAGE HEIGHTS SHOAL CREEK

Practice address

9225 NE 152 Hwy
Liberty, MO 64158

Phone

(816) 792-4783

Fax

(816) 792-4957

NPI assigned

Jul 19, 2011

Organization subpart

No

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

Authorized official

Name

Tom Dusterhoft

Title

Owner

Phone

(816) 792-4783

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1558659920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 NE 152 HWY",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64158",
            "telephone_number": "816-792-4783",
            "fax_number": "816-792-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 NE 152 HWY",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64158",
            "telephone_number": "816-792-4783",
            "fax_number": "816-792-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE HEIGHTS SHOAL CREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "DUSTERHOFT",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-792-4783"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2007037586",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MO",
            "license": "2007037586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Liberty, MO
• Providers in Liberty, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.