Conscientious Bodyworks, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

CONSCIENTIOUS BODYWORKS, LLC

Practice address

7011 E Blue Lupine Dr
Palmer, AK 99645-8457

Phone

(407) 454-4766

NPI assigned

Nov 11, 2021

Last updated

Nov 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis Rico AgudeloNPI 1154085975

Title

Owner

Phone

(407) 454-4766

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis Rico Agudelo, LMT

  • Massage Therapist
  • Anchorage, AK
  • NPI 1154085975
  NPD Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1659037851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 E BLUE LUPINE DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458457",
            "telephone_number": "407-454-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 E BLUE LUPINE DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996458457",
            "telephone_number": "407-454-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIENTIOUS BODYWORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "AGUDELO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-454-4766"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Palmer, AK
• Providers in Palmer, AK by specialty
• Massage Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.