Lavender and Sage Therapeutic Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501007108 Issued in MI

Legal business name

LAVENDER AND SAGE THERAPEUTIC MASSAGE, LLC

Practice address

1816 West John Beers Rd
Stevensville, MI 49127

Phone

(269) 235-4784

Fax

(269) 408-1993

NPI assigned

Aug 29, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Kayla Nicole Martinez, LMTNPI 1912435470

Title

Massage Therapist

Phone

(269) 235-4784

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kayla Nicole Martinez, LMT

  • Massage Therapist
  • Stevensville, MI
  • NPI 1912435470
  NPD (past) Authorized official

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1922525013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 COLOMA RD",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "49022",
            "telephone_number": "269-235-4784",
            "fax_number": "269-408-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 WEST JOHN BEERS RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "49127",
            "telephone_number": "269-235-4784",
            "fax_number": "269-408-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER AND SAGE THERAPEUTIC MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "269-235-4784",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501007108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Stevensville, MI
• Providers in Stevensville, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.