Tucson Myofascial Release & Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-12870 Issued in AZ

Legal business name

TUCSON MYOFASCIAL RELEASE & MASSAGE LLC

Practice address

850 N Kolb Rd
Tucson, AZ 85710-1333

Phone

(520) 971-4866

Fax

(520) 733-0406

NPI assigned

Dec 6, 2009

Last updated

Dec 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy D Johnson, LMT

Title

Owner

Phone

(520) 971-4866

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1260057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260057600000",
    "number": "1740518513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7739 E BROADWAY BLVD",
            "address_2": "83",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103941",
            "telephone_number": "520-971-4866",
            "fax_number": "520-733-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101333",
            "telephone_number": "520-971-4866",
            "fax_number": "520-733-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON MYOFASCIAL RELEASE & MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-06",
        "last_updated": "2009-12-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-971-4866",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-12870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2009; 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.