Active NPI
Positive Wave L.L.C
- Massage Therapist
- Radcliff, KY
National Provider Identifier
1861860751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- POSITIVE WAVE L.L.C
- Practice address
- 955 N Wilson Rd
B
Radcliff, KY 40160 - Phone
- (270) 748-1824
- NPI assigned
- Sep 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jade Conrad, L.M.T.
- Title
- Owner
- Phone
- (270) 748-1824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
955 N Wilson Rd
B
Radcliff, KY 40160
Mailing address
955 N Wilson Rd
B
Radcliff, KY 40160
Phone (270) 748-1824
Other names 1
- Positive Waves L.L.C
National Provider Directory
National Provider DirectoryLocations
955 N Wilson Rd
Ste B
Radcliff, KY 40160
Phone (270) 748-1824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441756800000",
"number": "1861860751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 N WILSON RD",
"address_2": "B",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "40160",
"telephone_number": "270-748-1824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 N WILSON RD",
"address_2": "B",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "40160",
"telephone_number": "270-748-1824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POSITIVE WAVE L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-09",
"last_updated": "2015-09-09",
"status": "A",
"authorized_official_last_name": "CONRAD",
"authorized_official_first_name": "JADE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-748-1824",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "L.M.T."
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Positive Waves L.L.C",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.