Massage Harbor Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MASSAGE HARBOR INC.

Practice address

124 Marina Ave # B
Aptos, CA 95003-4515

Phone

(831) 278-2868

NPI assigned

Jan 30, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Kay Dickey, LMT

Title

Cfo

Phone

(831) 254-4002

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1609330984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 MARINA AVE # B",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034515",
            "telephone_number": "831-278-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MARINA AVE # B",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034515",
            "telephone_number": "831-278-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE HARBOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "831-254-4002",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAMTC",
            "identifier": "530394516",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maribel Madrigal
• Christy Elizabeth Mandon, M.A. B.C.A.B.A
• Manresa Wellness
• Michaela Marr
• Elisa Martinez, LMFT
• Charlea Massion
• Rosemary Matkin, NP
• Buford E. McCharen, D.C.
• Caitlin McConnell
• Christie Grace McCullen

• Massage Therapist in Aptos, CA
• Providers in Aptos, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.