Individual provider Active NPI

Michelle Darlene Closs, LMT

  • Massage Therapist
  • Prescott, AZ
National Provider Identifier
1649041633
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-27530 Issued in AZ
Practice address
1590 Willow Creek Rd
Prescott, AZ 86301-1164
Phone
(928) 227-1899
NPI assigned
Jan 10, 2024
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-27530 AZ Primary

Addresses

Primary practice location

1590 Willow Creek Rd
Prescott, AZ 86301-1164

Mailing address

2315 N Page Springs Rd
Cornville, AZ 86325-6108
Phone (520) 425-4650

Other practice location 1

111 Sunset Blvd
Clarkdale, AZ 86324-2540
Phone (520) 425-4650

Other practice location 2

2315 N Page Springs Rd
Cornville, AZ 86325-6108
Phone (520) 425-4650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT-27530AZMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1649041633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 N PAGE SPRINGS RD",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863256108",
            "telephone_number": "520-425-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011164",
            "telephone_number": "928-227-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Clarkdale",
            "state": "AZ",
            "postal_code": "863242540",
            "country_code": "US",
            "telephone_number": "520-425-4650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 N Page Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Cornville",
            "state": "AZ",
            "postal_code": "863256108",
            "country_code": "US",
            "telephone_number": "520-425-4650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOSS",
        "first_name": "MICHELLE",
        "middle_name": "DARLENE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-27530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.