Mighty Massage Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MIGHTY MASSAGE INC

Practice address

2514 Polk St NE # 2
Minneapolis, MN 55418-3730

Phone

(763) 498-1986

Fax

(612) 378-1051

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

David James Kucera

Title

Massage Therapist

Phone

(763) 498-1986

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1881225142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 POLK ST NE # 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183730",
            "telephone_number": "763-498-1986",
            "fax_number": "612-378-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 POLK ST NE # 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183730",
            "telephone_number": "763-498-1986",
            "fax_number": "612-378-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY MASSAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "KUCERA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "763-498-1986"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID NUMBER",
            "identifier": "6608778",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W Mielke, M.D.
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• Elizabeth Bester Mihalchick, LPCC, LADC, LSC
• Christina Lee Mikesell, D.O.
• Justin Mikesell, DDS
• Sherief A Mikhail, M.D.,M.P.H.

• Massage Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.