Organization Active NPI

Soul Focus Wellness Center, LLC

Doing business as Soul Focus Massage

  • Massage Therapist
  • Salem, OR
National Provider Identifier
1689139974
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SOUL FOCUS WELLNESS CENTER, LLC
Doing business as
Soul Focus Massage
Practice address
4192 Liberty Rd S
Salem, OR 97302-5783
Phone
(541) 223-1729
NPI assigned
Jan 31, 2019
Last updated
Jan 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Ann M McIntyre, LMT
Title
Member
Phone
(541) 223-1729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

4192 Liberty Rd S
Salem, OR 97302-5783

Mailing address

PO Box 4238
Salem, OR 97302-8238
Phone (541) 223-1729

Other practice location 1

2227 Santiam Hwy SE
Albany, OR 97322-5206
Phone (541) 223-1729

Other names 1

  • Soul Focus Massage Doing business as

National Provider Directory

National Provider Directory

Locations

2227 Santiam Hwy SE
Albany, OR 97322
Phone (541) 223-1729

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1689139974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4238",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973028238",
            "telephone_number": "541-223-1729",
            "fax_number": "541-928-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4192 LIBERTY RD S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025783",
            "telephone_number": "541-223-1729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2227 Santiam Hwy SE",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973225206",
            "country_code": "US",
            "telephone_number": "541-223-1729",
            "fax_number": "541-928-7072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUL FOCUS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-223-1729",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soul Focus Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.