Rejuv Massage and Bodywork LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

REJUV MASSAGE AND BODYWORK LLC

Practice address

8640 3Rd Ave S
Bloomington, MN 55420-2933

Phone

(612) 282-0858

NPI assigned

Nov 18, 2015

Organization subpart

No

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

Authorized official

Name

Sophia E Strom de Maciel, LMTNPI 1669746483

Title

President

Phone

(612) 282-0858

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sophia E Strom de Maciel, LMT

  • Massage Therapist
  • Bloomington, MN
  • NPI 1669746483
  NPD (past) Authorized official

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1700250404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8640 3RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202933",
            "telephone_number": "612-282-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 3RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202933",
            "telephone_number": "612-282-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUV MASSAGE AND BODYWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "STROM DE MACIEL",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-282-0858",
        "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 Bloomington, MN
• Providers in Bloomington, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.