Great Metropolitan Backrub

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

GREAT METROPOLITAN BACKRUB

Practice address

762 Cleveland Ave S
Saint Paul, MN 55116-1347

Phone

(651) 698-3338

Fax

(612) 729-1403

NPI assigned

Jan 27, 2015

Organization subpart

No

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

Authorized official

Name

Barry Wolf, MS

Title

Billing Manager

Phone

(239) 970-2484

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1669862843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161347",
            "telephone_number": "651-698-3338",
            "fax_number": "612-729-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161347",
            "telephone_number": "651-698-3338",
            "fax_number": "612-729-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT METROPOLITAN BACKRUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "239-970-2484",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Janette Virginia Grazzini, M.A., L.P.
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• Great River Charter School
• Great River Dental P.a.
• Great River Psychotherapy PLLC
• Greater Minnesota Home Health Care Inc

• Massage Therapist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.