AZ MASSAGE SPA (NPI# 1770826067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770826067 |
| Entity Type | Organization |
| Organization Name | AZ MASSAGE SPA |
| Other Organization Name | JESSE JAMES BODY WELLNESS |
| Practice Address |
44 W Monroe St Apt 1401 Phoenix AZ 85003-4553 |
| Practice Telephone | 6025731309 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-08-20 |
| Authorized Official Name | JESSE FERRELL (OWNER/LMT) |
| Authorized Official Telephone | 6025731309 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-04127P | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Jesse James Body Wellness | Doing Business As Name - Organization |
| Street Address |
44 W MONROE ST APT 1401 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85003-4553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316003338 | John Geoffrey Sollenberger | Physical Medicine & Rehabilitation | 44 W Monroe St, #1907, Phoenix, AZ 85003-4553 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518504406 | Jennifer A Day | Counselor | 125 South Avenue, Phoenix, AZ 85003 | 2019-12-10 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1699254839 | Corner Pharmacy Incorporated | Pharmacy | 112 N 5th Ave Ste 101, Phoenix, AZ 85003 | 2018-08-08 |
| 1003279043 | Kimberly Brown | Technician, Other | 609 N 2nd Aveunue, 200, Phoenix, AZ 85003 | 2016-03-29 |
| 1548678626 | Douglas Barshter | Technician, Other | 602 N 2nd Avenue, Phoenix, AZ 85003 | 2014-08-01 |
| 1346655099 | Benjamin Heller | Family Medicine | 515 W Buckeye Rd Ste 104, Phoenix, AZ 85003 | 2014-06-20 |
| 1225383201 | Charles S Bell | Counselor | 609 North 2nd Ave., Phoenix, AZ 85003 | 2012-07-17 |
| 1790004133 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 50 W. Jefferson St., Suite 140, Phoenix, AZ 85003 | 2010-05-25 |
| 1184806960 | Word Play, LLC | Home Health | 808 N 4th Ave Unit 12, Phoenix, AZ 85003 | 2007-12-03 |
| 1609067842 | Salim Shafi | Dentist | 125 W Mcdowell Road, Phoenix, AZ 85003 | 2007-08-05 |
| Find all providers in zip 85003 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113221 | Erin Clark | Massage Therapist | 9014 W Cambridge Ave, Phoenix, AZ 85037-3430 | 2020-10-27 |
| 1205435823 | Angelica Mitchum | Massage Therapist | 15815 S Lakewood Pkwy W, 2051, Phoenix, AZ 85048-5850 | 2020-10-23 |
| 1598362618 | Zeke Michael Mcnelly | Massage Therapist | 1417 E Colter St Apt 15, Phoenix, AZ 85014-3052 | 2020-10-01 |
| 1386250520 | Jeanne Thom | Massage Therapist | 21150 N Tatum Blvd Apt 1045, Phoenix, AZ 85050-4296 | 2020-09-22 |
| 1649880253 | Dwayne Pepper | Massage Therapist | 1337 E Goldenrod St, Phoenix, AZ 85048-6231 | 2020-08-07 |
| 1942818828 | Erika Mendoza | Massage Therapist | 7546 W Forest Grove Ave, Phoenix, AZ 85043-1656 | 2020-07-16 |
| 1164042602 | Rhonda L Evans | Massage Therapist | 3124 W Salter Dr, Phoenix, AZ 85027-2250 | 2020-04-24 |
| 1700416427 | David Solis | Massage Therapist | 1614 W Whispering Wind Dr Ste 5, Phoenix, AZ 85085-0809 | 2020-01-22 |
| 1700425949 | Charles George King Jr. | Massage Therapist | 6223 N 20th Dr, Phoenix, AZ 85015-1516 | 2020-01-06 |
| 1679119457 | Faith Vandyne | Massage Therapist | 722 E Sack Dr, Phoenix, AZ 85024-8232 | 2019-11-27 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.