Hiroyo Sagi
Individual provider Active NPI Massage Therapist · St, Robert, MO
NPI 1861800575 · NPPES record last updated Jul 25, 2014
Key facts
- NPI
- 1861800575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 2012009769 (MO)
- Practice address
- 105 Bosa Dr
Suite 1
St, Robert, MO 65584 - Phone
- (573) 433-9151
- NPI assigned
- Jul 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012009769 | MO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2012009769 | MO | Yes |
Addresses
Primary practice location
105 Bosa Dr
Suite 1
St, Robert, MO 65584
Mailing address
26175 Rambling LN
Richland, MO 65556-7567
Phone (573) 433-9151
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.