Active NPI
Emptyhandbodywork
- Mechanotherapist
- Robbinsdale, MN
National Provider Identifier
1588022339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 264555
- Legal business name
- EMPTYHANDBODYWORK
- Practice address
- 3522 Indiana Ave N
Robbinsdale, MN 55422-2854 - Phone
- (612) 384-4121
- NPI assigned
- Feb 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayode C. Giwa
- Title
- Wellness Practitioner
- Phone
- (612) 384-4121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 264555 | MN | Primary |
Addresses
Primary practice location
3522 Indiana Ave N
Robbinsdale, MN 55422-2854
Mailing address
3522 Indiana Ave N
Robbinsdale, MN 55422-2854
Phone (612) 384-4121
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454889600000",
"number": "1588022339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3522 INDIANA AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222854",
"telephone_number": "612-384-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3522 INDIANA AVE N",
"city": "ROBBINSDALE",
"state": "MN",
"postal_code": "554222854",
"telephone_number": "612-384-4121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMPTYHANDBODYWORK",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-08",
"last_updated": "2016-02-08",
"status": "A",
"authorized_official_last_name": "GIWA",
"authorized_official_first_name": "KAYODE",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "WELLNESS PRACTITIONER",
"authorized_official_telephone_number": "612-384-4121"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Mechanotherapist",
"state": "MN",
"license": "264555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Robbinsdale, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.