Active NPI
Kneaded Moments Massage
- Mechanotherapist
- Toledo, OH
National Provider Identifier
1720436090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 33019158
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 33019158 | OH | Primary |
| Mechanotherapist | 172M00000X | 33017699 | OH | |
| Mechanotherapist | 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 DirectoryLocations
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.