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

Last updated

Jan 27, 2020By 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

David James KuceraNPI 1174917942

Title

Massage Therapist

Phone

(763) 498-1986

Specialties & licenses 1

Addresses

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.

• David Kucera

  • Massage Therapist
  • Minneapolis, MN
  • NPI 1174917942
  Authorized official Same address or phone

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": [],
    "endpoints": [],
    "other_names": []
}

• John W Mielke, M.D.
• Nicholas John Mielke, MD
• Richard M Mielke, LAMFT
• Tanner Miest, M.D., PH.D.
• Migana Home Healthcare, LLC
• Elizabeth Bester Mihalchick, LPCC, LADC, LSC
• Christina Lee Mikesell, D.O.
• Justin Mikesell, DDS
• Sherief A Mikhail, M.D.,M.P.H.
• Savanna Joy Mikkalson, DDS

• 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.