NPIMap

Organization Active NPI

Greenway Massage Team, LLC

  • Clinic/Center
  • Columbia, MO
National Provider Identifier
1649461641
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2006005578 Issued in MO
Legal business name
GREENWAY MASSAGE TEAM, LLC
Practice address
810 E Walnut St
Columbia, MO 65201-4863
Phone
(573) 449-4929
Fax
(573) 449-4933
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Mirra Greemway, LMT, NCBTMB
Title
Owner
Phone
(573) 449-4929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2006005578 MO Primary

Addresses

Primary practice location

810 E Walnut St
Columbia, MO 65201-4863

Mailing address

810 E Walnut St
Columbia, MO 65201-4863
Phone (573) 449-4929

National Provider Directory

National Provider Directory

Locations

810 E Walnut St
Columbia, MO 65201
Phone (573) 449-4929

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1649461641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E WALNUT ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014863",
            "telephone_number": "573-449-4929",
            "fax_number": "573-449-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E WALNUT ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014863",
            "telephone_number": "573-449-4929",
            "fax_number": "573-449-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY MASSAGE TEAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "GREEMWAY",
        "authorized_official_first_name": "MIRRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-449-4929",
        "authorized_official_credential": "LMT, NCBTMB"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "2006005578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.