Advanced Massage Healthcare, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1234 Issued in NE

Legal business name

ADVANCED MASSAGE HEALTHCARE, INC.

Practice address

3601 Calvert St
34
Lincoln, NE 68506-5797

Phone

(402) 423-2643

Fax

(402) 423-2644

NPI assigned

Apr 26, 2007

Last updated

Aug 24, 2016By 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

Bradley Dean Decker, L.M.T.

Title

Owner

Phone

(402) 423-2643

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1669692117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CALVERT ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-423-2643",
            "fax_number": "402-423-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CALVERT ST",
            "address_2": "34",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685065797",
            "telephone_number": "402-423-2643",
            "fax_number": "402-423-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MASSAGE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-423-2643",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.