Concierge Massage Therapy, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

E3591 Issued in LA

Legal business name

CONCIERGE MASSAGE THERAPY, LLC

Practice address

1402 S Magnolia St
D
Hammond, LA 70403-5020

Phone

(985) 662-0991

Fax

(985) 662-0976

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

William Earl Passman Jr., LMT, MMPNPI 1881127660

Title

Owner

Phone

(985) 662-0991

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Earl Passman Jr., LMT, MMP

  • Massage Therapist
  • Hammond, LA
  • NPI 1881127660
  NPD (past) Authorized official

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1558894121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S MAGNOLIA ST",
            "address_2": "D",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035020",
            "telephone_number": "985-662-0991",
            "fax_number": "985-662-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S MAGNOLIA ST",
            "address_2": "D",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035020",
            "telephone_number": "985-662-0991",
            "fax_number": "985-662-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "PASSMAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-662-0991",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMT, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "E3591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Hammond, LA
• Providers in Hammond, LA by specialty
• Massage Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.