Organization Active NPI

My Neck 2 My Back Massage

Doing business as Laquia Monique Jenkins

  • Multi-Specialty Clinic/Center
  • Stockton, CA
National Provider Identifier
1881009587
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MY NECK 2 MY BACK MASSAGE
Doing business as
Laquia Monique Jenkins
Practice address
42 N Sutter St
Ste 500
Stockton, CA 95202-2913
Phone
(209) 952-5614
Fax
(209) 242-2654
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Miss Laquia Monique Jenkins, C.M.T.
Title
Owner
Phone
(209) 952-5614

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
MechanotherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172M00000X
ReflexologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173C00000X
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X
Health EducatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174H00000X
Clinic/Center 261Q00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

42 N Sutter St
Ste 500
Stockton, CA 95202-2913

Mailing address

PO Box 436
Stockton, CA 95201-0436
Phone (209) 952-5614

Other names 1

  • Laquia Monique Jenkins Doing business as

National Provider Directory

National Provider Directory

Locations

42 N Sutter St
Ste 500
Stockton, CA 95202
Phone (209) 933-1255

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1881009587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952010436",
            "telephone_number": "209-952-5614",
            "fax_number": "209-242-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N SUTTER ST",
            "address_2": "STE 500",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952022913",
            "telephone_number": "209-952-5614",
            "fax_number": "209-242-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NECK 2 MY BACK MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LAQUIA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-952-5614",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "C.M.T."
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laquia Monique Jenkins",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.