Organization Active NPI

Mobile Massage

  • Massage Therapist
  • Phoenix, AZ
National Provider Identifier
1629796008
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MOBILE MASSAGE
Practice address
3336 N 32ND St Ste 114
Phoenix, AZ 85018-6241
Phone
(623) 322-0730
Fax
(623) 374-4592
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Authorized official

Name
Jenna Hall
Title
Provider
Phone
(480) 233-5494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3336 N 32ND St Ste 114
Phoenix, AZ 85018-6241

Mailing address

3336 N 32ND St Ste 114
Phoenix, AZ 85018-6241
Phone (623) 322-0730

National Provider Directory

National Provider Directory

Locations

3336 N 32nd St
Ste 114
Phoenix, AZ 85018
Phone (623) 322-0730

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1629796008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 N 32ND ST STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186241",
            "telephone_number": "623-322-0730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 N 32ND ST STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850186241",
            "telephone_number": "623-322-0730",
            "fax_number": "623-374-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "480-233-5494"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.