Organization Active NPI

Mia's Massage LLC

Doing business as Mia's Therapeutic Massage Clinic

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1912758889
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MIA'S MASSAGE LLC
Doing business as
Mia's Therapeutic Massage Clinic
Practice address
1106 N Washington St Ste D
Spokane, WA 99201-2205
Phone
(509) 795-1888
NPI assigned
Mar 28, 2024
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Marvin Hunt
Title
Administrator
Phone
(509) 251-9055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Primary

Addresses

Primary practice location

1106 N Washington St Ste D
Spokane, WA 99201-2205

Mailing address

1307 E 19TH Ave
Spokane, WA 99203-3425
Phone (509) 251-9055

Other names 1

  • Mia's Therapeutic Massage Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mia's Massage LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1106 N Washington St
Ste D
Spokane, WA 99201
Phone (509) 744-1117

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1912758889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 E 19TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033425",
            "telephone_number": "509-251-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N WASHINGTON ST STE D",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012205",
            "telephone_number": "509-795-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA'S MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-251-9055"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mia's Therapeutic Massage Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.