Center for Integrative Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

CENTER FOR INTEGRATIVE MASSAGE, LLC

Doing business as

hush Therapeutic Massage

Practice address

1053 Grand Ave Ste 113
Saint Paul, MN 55105-3074

Phone

(651) 343-4444

Fax

(651) 343-4444

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Allison Nicole Penner-Hurst, BCTMB

Title

Ceo

Phone

(651) 343-4444

Specialties & licenses 1

Addresses

Other names 1

• hush Therapeutic Massage Doing business as

Locations

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1801391941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 GRAND AVE STE 113",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053074",
            "telephone_number": "651-343-4444",
            "fax_number": "651-343-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 GRAND AVE STE 113",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053074",
            "telephone_number": "651-343-4444",
            "fax_number": "651-343-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR INTEGRATIVE MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "PENNER-HURST",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-343-4444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCTMB"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hush Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.