Massaj Mahal

Primary specialty

SpecialistTaxonomy code 174400000X

License

1062 Issued in MT

Legal business name

MASSAJ MAHAL

Doing business as

Erickson Neuromuscular Therapy

Practice address

22 2ND Ave W
1100
Kalispell, MT 59901-4466

Phone

(406) 755-6002

NPI assigned

Oct 14, 2015

Organization subpart

No

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

Authorized official

Name

Susan Erickson, LMT, BLS, BS

Title

President

Phone

(406) 755-6002

Specialties & licenses 1

Addresses

Other names 1

• Erickson Neuromuscular Therapy Doing business as

Locations

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444780800000",
    "number": "1730550807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7923",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599040923",
            "telephone_number": "406-755-6002",
            "fax_number": "888-350-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 2ND AVE W",
            "address_2": "1100",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014466",
            "telephone_number": "406-755-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAJ MAHAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-10-14",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-755-6002",
        "authorized_official_credential": "LMT, BLS, BS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MT",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erickson Neuromuscular Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steve Michael Martinez, L.AC.
• Alan Marvin
• Mitchell C Marzo, M.D.
• Constance Mash, M.D.
• Charles W Mason Sr., DDS
• Rebecca Masterjohn, OTR/L, ATP
• Stephen E Mathison, REGPH
• Andrew Matulionis, R.PH.
• Cassandra Maughan
• J Matthew Maxwell, MD

• Specialist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Specialist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; 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.