Organization Active NPI

Kneading Soulstice Massage LLC

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1730655077
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
KNEADING SOULSTICE MASSAGE LLC
Practice address
495 Anaconda Dr
Colorado Springs, CO 80919-2044
Phone
(719) 352-9584
NPI assigned
Oct 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Authorized official

Name
Beatrice R Ohare, LMT, CNMT
Title
Member
Phone
(719) 352-9584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

495 Anaconda Dr
Colorado Springs, CO 80919-2044

Mailing address

495 Anaconda Dr
Colorado Springs, CO 80919-2044
Phone (719) 352-9584

Other practice location 1

4617 Austin Bluffs Pkwy
Colorado Springs, CO 80918-2937
Phone (719) 266-6431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1730655077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 ANACONDA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192044",
            "telephone_number": "719-352-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 ANACONDA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192044",
            "telephone_number": "719-352-9584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4617 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809182937",
            "country_code": "US",
            "telephone_number": "719-266-6431",
            "fax_number": "719-265-1752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KNEADING SOULSTICE MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-14",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "OHARE",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "719-352-9584",
        "authorized_official_credential": "LMT, CNMT"
    },
    "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 Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.