Miracle Massage and Therapy Center Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MIRACLE MASSAGE AND THERAPY CENTER CORP

Practice address

3715 Bardstown Rd
Suite 217
Louisville, KY 40218-2244

Phone

(502) 762-5645

Fax

(502) 454-7784

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Ariel Borrego, PRESIDENT

Title

President

Phone

(502) 762-5645

Specialties & licenses 1

Addresses

Other names 1

• MIRACLE MASSAGE AND THERAPY CENTER CORP Former legal business name

Locations

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1780093617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 BARDSTOWN RD",
            "address_2": "SUITE 217",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182244",
            "telephone_number": "502-762-5645",
            "fax_number": "502-454-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 BARDSTOWN RD",
            "address_2": "SUITE 217",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182244",
            "telephone_number": "502-762-5645",
            "fax_number": "502-454-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MASSAGE AND THERAPY CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "BORREGO",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-762-5645",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRACLE MASSAGE AND THERAPY CENTER CORP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nikki Kris Minyard, PT
• Season Lanee' Minzenberger, BACHELORS DEGREE
• Nora Miodrag, DPT
• Kashif Ali Shaz Mir, M.D.
• Yusmel Mirabal, PA-C
• Mikayla Miranda, OTR/L
• Mirez Med Center Corp
• Kari Mirovsky
• Mirror Heart LLC
• Mohammed Y Mirza, MD

• Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.