Mystikal Motions

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

107484 Issued in TX

Legal business name

MYSTIKAL MOTIONS

Practice address

400 W Main St
Suite 213
Round Rock, TX 78664-5808

Phone

(512) 743-6010

NPI assigned

Jul 28, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Misty Dawn Keim, LMT107484NPI 1770128290

Title

Licensed Massage Therapist

Phone

(512) 743-6010

Specialties & licenses 1

Addresses

Other names 1

• Misty Keim LMT 107484 Doing business as

Locations

Practitioners 1

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

• Misty D Keim, LMT

  • Massage Therapist
  • Round Rock, TX
  • NPI 1770128290
  NPD (past) Authorized official

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1588049803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 DOVE CREEK DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645920",
            "telephone_number": "512-743-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST",
            "address_2": "SUITE 213",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786645808",
            "telephone_number": "512-743-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSTIKAL MOTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "KEIM",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "512-743-6010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT107484"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "107484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Misty Keim LMT 107484",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Subash Mutyala, D.D.S.
• Mydental at Round Rock PLLC
• Mia Myers
• Samantha Myhre, PHD, LP
• Robert James Mysse, DDS
• N & N Networks LLC
• Muhammad Nabil, M.D
• Julie Anne Nachman
• Nelson Lee Nagle, L.P.C.
• Naik Dental P.a.

• Massage Therapist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.