Organization Active NPI

Eastern Arts Therapeutic Massage PLLC

  • Health Service Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1811376247
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
7501000111 Issued in MI
Legal business name
EASTERN ARTS THERAPEUTIC MASSAGE PLLC
Practice address
2370 E Stadium Blvd
Ann Arbor, MI 48104-4811
Phone
(734) 444-3278
NPI assigned
May 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Qian Young
Title
Owner
Phone
(734) 444-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 7501000111 MI Primary

Addresses

Primary practice location

2370 E Stadium Blvd
Ann Arbor, MI 48104-4811

Mailing address

2370 E Stadium Blvd
Ann Arbor, MI 48104-4811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1811376247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 E STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 E STADIUM BLVD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044811",
            "telephone_number": "734-444-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ARTS THERAPEUTIC MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "QIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-444-3278"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MI",
            "license": "7501000111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.