Mantis Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MANTIS MASSAGE

Practice address

3823 Airport Blvd Ste a
Austin, TX 78722-1347

Phone

(512) 540-5827

NPI assigned

Nov 2, 2022

Last updated

Nov 2, 2022By 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

Mrs. Kyra Matos, LMT

Title

Owner

Phone

(512) 540-5827

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1689381394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 AIRPORT BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221347",
            "telephone_number": "512-540-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 AIRPORT BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787221347",
            "telephone_number": "512-540-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 S Congress Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787046422",
            "country_code": "US",
            "telephone_number": "512-540-5827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANTIS MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "KYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-540-5827",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.