Massage Clinic

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

965 Issued in NE

Legal business name

MASSAGE CLINIC

Practice address

4009 Randolph St
Lincoln, NE 68510-3661

Phone

(402) 432-4221

NPI assigned

Dec 20, 2012

Organization subpart

No

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

Authorized official

Name

Amy D Williams, LMT

Title

Owner

Phone

(402) 432-4221

Specialties & licenses 1

Addresses

Other names 1

• Massage Clinic & Energy Balancing Center Other name

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1821334715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 SAINT ANDREWS PL",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121822",
            "telephone_number": "402-432-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 RANDOLPH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685103661",
            "telephone_number": "402-432-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-432-4221",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "NE",
            "license": "965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massage Clinic & Energy Balancing Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Mason
• Talaysia Monyce Mason
• Tamika Mason
• Tasha N Mason
• Jarid Ryan Massa
• Gabryelle Massey
• John R Massey, MD
• Mercedes Massie
• Natalie Jane Massie, MS LIMHP
• Ava Louise Masten

• Massage Therapist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Massage Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.