Iron Hands Sports Massage and Rehab, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

IRON HANDS SPORTS MASSAGE AND REHAB, LLC

Practice address

30250 SW Parkway Ave Ste 12
Wilsonville, OR 97070-9757

Phone

(541) 786-8107

NPI assigned

Oct 28, 2019

Organization subpart

No

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

Authorized official

Name

Jesseka Collins

Title

Owner

Phone

(541) 786-8107

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1780228247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30250 SW PARKWAY AVE STE 12",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709757",
            "telephone_number": "541-786-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30250 SW PARKWAY AVE STE 12",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709757",
            "telephone_number": "541-786-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON HANDS SPORTS MASSAGE AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JESSEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-786-8107"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.