Organization Active NPI

Sobur Massage LLC

  • Massage Therapist
  • Las Vegas, NV
National Provider Identifier
1720499486
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
NV.5600 Issued in NV
Legal business name
SOBUR MASSAGE LLC
Practice address
8091 Lottie Ave
Las Vegas, NV 89149-4769
Phone
(702) 994-1086
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Michael Anthony LeeNPI 1932623089
Title
Owner/ Massage Therapist
Phone
(702) 994-1086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X NV.5600 NV Primary

Addresses

Primary practice location

8091 Lottie Ave
Las Vegas, NV 89149-4769

Mailing address

8091 Lottie Ave
Las Vegas, NV 89149-4769
Phone (702) 994-1086

National Provider Directory

National Provider Directory

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": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1720499486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8091 LOTTIE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494769",
            "telephone_number": "702-994-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8091 LOTTIE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494769",
            "telephone_number": "702-994-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBUR MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/ MASSAGE THERAPIST",
        "authorized_official_telephone_number": "702-994-1086"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NV.5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.