Island Therapeutic Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ISLAND THERAPEUTIC MASSAGE

Practice address

6043 Hudson Rd
Suite 125
Woodbury, MN 55125-1018

Phone

(612) 735-0610

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Victoria StovallNPI 1427320746

Title

Owner/Operator

Phone

(612) 735-0610

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Stovall, OWNER

  • Specialist
  • Woodbury, MN
  • NPI 1427320746
  NPD (past) Authorized official

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1790035749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 HUDSON RD",
            "address_2": "SUITE 125",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251018",
            "telephone_number": "612-735-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 HUDSON RD",
            "address_2": "SUITE 125",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251018",
            "telephone_number": "612-735-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "612-735-0610"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Institute for Integrative Health LLC
• Integrated DME LLC
• Melissa Irisarri
• Adrienne M Irmiter, PA-C
• Ryan Lawrence Isaacson, O.D.
• Linda Kay Iten
• Jennifer Ann Itskovich, MSW
• Josefa Nazareth Izaola-Jovel
• Jack M Bert MD PA
• Catherine Jackson

• Massage Therapist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.