Bloomington Massage & Bodyworks

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BLOOMINGTON MASSAGE & BODYWORKS

Practice address

101 W Kirkwood Ave
Suite 127
Bloomington, IN 47404-6129

Phone

(812) 333-4917

NPI assigned

Oct 22, 2014

Last updated

Oct 22, 2014By 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. Zachariah Henry, L.M.T

Title

President

Phone

(812) 333-4917

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1881098648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE",
            "address_2": "SUITE 127",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046129",
            "telephone_number": "812-333-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W KIRKWOOD AVE",
            "address_2": "SUITE 127",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474046129",
            "telephone_number": "812-333-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON MASSAGE & BODYWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ZACHARIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-333-4917",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.