Custom Massage Builders

Primary specialty

SpecialistTaxonomy code 174400000X

License

17412 Issued in OR

Legal business name

CUSTOM MASSAGE BUILDERS

Practice address

2310 NW Kings Blvd
Corvallis, OR 97330-3925

Phone

(541) 231-2314

NPI assigned

Sep 2, 2015

Last updated

Sep 2, 2015By 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. Donald Broc Battaglia, LMT

Title

Massage Therapist

Phone

(541) 231-2314

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1902274343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303925",
            "telephone_number": "541-231-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303925",
            "telephone_number": "541-231-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM MASSAGE BUILDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "BATTAGLIA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "BROC",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "541-231-2314",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "17412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Curtis, RN
• Michelle J Curtis, M.D.
• Sarah Joelle Curtis
• Zane Curtis
• Custom Massage Builders
• Cynthia a Noble MD PC (Noble Women's Healthcare)
• Cindy M D'Angiolillo, RN
• Angela Joy Dahlke
• Tracee Jon Dahlke, NURSE PRACTITIONER
• Heather Dahlstrom

• Specialist in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.