Organization Active NPI

Kneaded Moments Massage

  • Mechanotherapist
  • Toledo, OH
National Provider Identifier
1720436090
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
33019158 Issued in OH
Legal business name
KNEADED MOMENTS MASSAGE
Practice address
5650 W Central Ave
Suite C2
Toledo, OH 43615-1519
Phone
(419) 315-5010
NPI assigned
May 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Jennifer M Hertzfeld
Title
Owner
Phone
(419) 315-5010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172M00000X 33019158 OH Primary
MechanotherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172M00000X 33017699 OH
MechanotherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172M00000X 33010862 OH

Addresses

Primary practice location

5650 W Central Ave
Suite C2
Toledo, OH 43615-1519

Mailing address

5650 W Central Ave
Suite C2
Toledo, OH 43615-1519
Phone (419) 315-5010

National Provider Directory

National Provider Directory

Locations

5650 W Central Ave
Ste C2
Toledo, OH 43615
Phone (419) 315-5010

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1720436090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 W CENTRAL AVE",
            "address_2": "SUITE C2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151519",
            "telephone_number": "419-315-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 W CENTRAL AVE",
            "address_2": "SUITE C2",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151519",
            "telephone_number": "419-315-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEADED MOMENTS MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "HERTZFELD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-315-5010"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "OH",
            "license": "33019158",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "OH",
            "license": "33017699",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": "OH",
            "license": "33010862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.