Organization Active NPI

Holistic Massage and Bodyworks

  • Massage Therapist
  • Las Vegas, NV
National Provider Identifier
1891475554
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HOLISTIC MASSAGE AND BODYWORKS
Practice address
2291 S Fort Apache Rd Ste 106
Las Vegas, NV 89117-5895
Phone
(702) 776-7766
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Daniel Joshua AveryNPI 1427735489
Title
Member Manager
Phone
(725) 248-0251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2291 S Fort Apache Rd Ste 106
Las Vegas, NV 89117-5895

Mailing address

4262 Blue Diamond Rd Ste 102-389
Las Vegas, NV 89139-7789
Phone (725) 248-0251

National Provider Directory

National Provider Directory

Locations

2291 S Fort Apache Rd
Ste 106
Las Vegas, NV 89117
Phone (702) 776-7766

4262 Blue Diamond Rd
Ste 102389
Las Vegas, NV 89139

8945 W Post Rd
Ste 105
Las Vegas, NV 89148
Phone (702) 254-1222

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1891475554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4262 BLUE DIAMOND RD STE 102-389",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891397789",
            "telephone_number": "725-248-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 S FORT APACHE RD STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175895",
            "telephone_number": "702-776-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MASSAGE AND BODYWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "725-248-0251"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.