Kiva Therapeutics LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

KIVA THERAPEUTICS LLC

Doing business as

Kiva Therapeutics Massage & Day Spa

Practice address

168 Rosemary Loop Ste 1
Priest Lake, ID 83856-5023

Phone

(208) 946-1226

NPI assigned

Jul 12, 2017

Last updated

Jul 12, 2017By 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

Jennifer Eggers, LMTNPI 1952427189

Title

Owner

Phone

(208) 946-1226

Specialties & licenses 1

Addresses

Other names 1

• Kiva Therapeutics Massage & Day Spa Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Eggers, LMP

  • Massage Therapist
  • Seattle, WA
  • NPI 1952427189
  NPD Authorized official

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499817600000",
    "number": "1700308673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 NW MARKET ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074137",
            "telephone_number": "208-946-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 ROSEMARY LOOP STE 1",
            "city": "PRIEST LAKE",
            "state": "ID",
            "postal_code": "838565023",
            "telephone_number": "208-946-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIVA THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A",
        "authorized_official_last_name": "EGGERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-946-1226",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiva Therapeutics Massage & Day Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Priest Lake Emergency Medical Technicians, Inc.
• Angela Gregory Updike, CMT
• Rosemary Yocum, L.AC.

• Massage Therapist in Priest Lake, ID
• Providers in Priest Lake, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.