Active NPI
Selby Medical Massage LLC
- Massage Therapist
- Mesa, AZ
National Provider Identifier
1760291983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- SELBY MEDICAL MASSAGE LLC
- Practice address
- 4111 E Valley Auto Dr Ste 201
Mesa, AZ 85206-4609 - Phone
- (480) 382-2537
- NPI assigned
- Jan 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Heather Selby, LMT, CNMT, CMMP
- Title
- Massage Therapist
- Phone
- (480) 382-2537
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
4111 E Valley Auto Dr Ste 201
Mesa, AZ 85206-4609
Mailing address
952 S 96TH PL
Mesa, AZ 85208-3110
Phone (714) 315-7306
Other names 1
- Selby Medical Massage
National Provider Directory
National Provider DirectoryPractitioners & 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": "1735776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735776000000",
"number": "1760291983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "952 S 96TH PL",
"city": "MESA",
"state": "AZ",
"postal_code": "852083110",
"telephone_number": "714-315-7306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 E VALLEY AUTO DR STE 201",
"city": "MESA",
"state": "AZ",
"postal_code": "852064609",
"telephone_number": "480-382-2537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELBY MEDICAL MASSAGE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-02",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A",
"authorized_official_last_name": "SELBY",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "MASSAGE THERAPIST",
"authorized_official_telephone_number": "480-382-2537",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMT, CNMT, CMMP"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Selby Medical Massage",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.