NPIMap

Organization Active NPI

Mobile Massage of Michigan LLC.

  • Massage Therapist
  • Jackson, MI
National Provider Identifier
1760734222
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MOBILE MASSAGE OF MICHIGAN LLC.
Practice address
8059 S Portage Rd
Jackson, MI 49201-8583
Phone
(517) 937-7961
NPI assigned
Oct 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Mr. Wayne Max Gooding, C.M.T.NPI 1629321427
Title
Owner
Phone
(517) 937-7961

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

8059 S Portage Rd
Jackson, MI 49201-8583

Mailing address

8059 S Portage Rd
Jackson, MI 49201-8583
Phone (517) 937-7961

National Provider Directory

National Provider Directory

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1760734222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8059 S PORTAGE RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018583",
            "telephone_number": "517-937-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8059 S PORTAGE RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018583",
            "telephone_number": "517-937-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MASSAGE OF MICHIGAN LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "GOODING",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-937-7961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.M.T."
    },
    "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 Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.