Organization Active NPI

Enliven Massage LLC

  • Massage Therapist
  • Traverse City, MI
National Provider Identifier
1689421984
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ENLIVEN MASSAGE LLC
Practice address
739 Woodmere Ave
Traverse City, MI 49686-3348
Phone
(231) 620-7677
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Hannah Brunk
Title
Owner
Phone
(231) 620-4152

Specialties & licenses 1

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

Addresses

Primary practice location

739 Woodmere Ave
Traverse City, MI 49686-3348

Mailing address

2677 Blue Ridge LN
Traverse City, MI 49685-8923

Other practice location 1

1026 Hannah Ave Ste C
Traverse City, MI 49686-2958
Phone (231) 620-7677

Other names 1

  • Enliven Massage LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1026 Hannah Ave
Ste C
Traverse City, MI 49686
Phone (231) 620-7677

739 Woodmere Ave
Traverse City, MI 49686
Phone (231) 620-7677

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1689421984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 BLUE RIDGE LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496858923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 WOODMERE AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863348",
            "telephone_number": "231-620-7677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 Hannah Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496862958",
            "country_code": "US",
            "telephone_number": "231-620-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENLIVEN MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "BRUNK",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-620-4152"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enliven Massage LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.