Organization Active NPI

Lighthouse Massage and Yoga

  • Massage Therapist
  • Grand Ledge, MI
National Provider Identifier
1720879646
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LIGHTHOUSE MASSAGE AND YOGA
Practice address
300 S Bridge St FL 3
Grand Ledge, MI 48837-1590
Phone
(517) 622-0123
Fax
(517) 622-0123
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Elizabeth EverettNPI 1205627114
Title
Owner
Phone
(517) 622-0123

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: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

300 S Bridge St FL 3
Grand Ledge, MI 48837-1590

Mailing address

300 S Bridge St FL 3
Grand Ledge, MI 48837-1590
Phone (517) 622-0123

National Provider Directory

National Provider Directory

Locations

300 S Bridge St
Fl 3
Grand Ledge, MI 48837
Phone (517) 622-0123

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": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1720879646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BRIDGE ST FL 3",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371590",
            "telephone_number": "517-622-0123",
            "fax_number": "517-622-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BRIDGE ST FL 3",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488371590",
            "telephone_number": "517-622-0123",
            "fax_number": "517-622-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE MASSAGE AND YOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "EVERETT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-622-0123"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Ledge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.