The Knead Medmassage LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11908 Issued in TX

Legal business name

THE KNEAD MEDMASSAGE LLC

Doing business as

The Knead MedMassage LLC

Practice address

5301 Village Creek Dr
Suite B
Plano, TX 75093-4838

Phone

(469) 304-3443

Fax

(469) 304-3443

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Joel Michael Speers, D.C.

Title

Manager

Phone

(469) 304-3443

Specialties & licenses 1

Addresses

Other names 1

• The Knead MedMassage LLC Doing business as

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1639506223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VILLAGE CREEK DR",
            "address_2": "SUITE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934838",
            "telephone_number": "469-304-3443",
            "fax_number": "469-304-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 VILLAGE CREEK DR",
            "address_2": "SUITE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934838",
            "telephone_number": "469-304-3443",
            "fax_number": "469-304-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KNEAD MEDMASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "SPEERS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-304-3443",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Knead MedMassage LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.