NPIMap

Organization Active NPI

Lakeshore Massage Therapy Inc

  • Massage Therapist
  • Muskegon, MI
National Provider Identifier
1851779763
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501001486 Issued in MI
Legal business name
LAKESHORE MASSAGE THERAPY INC
Practice address
1845 Lakeshore Dr
Suite 4
Muskegon, MI 49441-1896
Phone
(231) 720-0969
NPI assigned
May 12, 2015
Last updated
May 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Janelle Reavey
Title
Owner
Phone
(231) 720-0969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501001486 MI Primary

Addresses

Primary practice location

1845 Lakeshore Dr
Suite 4
Muskegon, MI 49441-1896

Mailing address

1845 Lakeshore Dr
Suite 4
Muskegon, MI 49441-1896
Phone (231) 720-0969

National Provider Directory

National Provider Directory

Locations

1845 Lakeshore Dr
Ste 4
Muskegon, MI 49441
Phone (231) 720-0969

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1851779763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 LAKESHORE DR",
            "address_2": "SUITE 4",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411896",
            "telephone_number": "231-720-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 LAKESHORE DR",
            "address_2": "SUITE 4",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411896",
            "telephone_number": "231-720-0969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE MASSAGE THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "REAVEY",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-720-0969"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501001486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.