Acupressure MLD Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA69614 Issued in FL

Legal business name

ACUPRESSURE MLD MASSAGE LLC

Doing business as

Acupressure MLD Massage LLC

Practice address

11721 US Highway 19
#53
Port Richey, FL 34668-1433

Phone

(727) 597-8479

Fax

(727) 597-8434

NPI assigned

Jun 27, 2016

Last updated

Jun 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anselmo Ignacio Reyes, LMTNPI 1174074306

Title

Owner

Phone

(727) 597-8479

Specialties & licenses 1

Addresses

Other names 1

• ACUPRESSURE MLD MASSAGE LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anselmo Ignacio Reyes, LMT

  • Massage Therapist
  • Port Richey, FL
  • NPI 1174074306
  Authorized official Same address or phone

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466985600000",
    "number": "1871944298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12502 GLENDALE CT",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346692741",
            "telephone_number": "727-597-8479",
            "fax_number": "727-597-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11721 US HIGHWAY 19",
            "address_2": "#53",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681433",
            "telephone_number": "727-597-8479",
            "fax_number": "727-597-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPRESSURE MLD MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ANSELMO",
        "authorized_official_middle_name": "IGNACIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-597-8479",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA69614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACUPRESSURE MLD MASSAGE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; 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.