MIGHTY MASSAGE INC (NPI# 1881225142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881225142 |
| Entity Type | Organization |
| Organization Name | MIGHTY MASSAGE INC |
| Practice Address |
2514 Polk St Ne # 2 Minneapolis MN 55418-3730 |
| Practice Telephone | 7634981986 |
| Practice Fax Number | 6123781051 |
| Mailing Telephone | 7634981986 |
| Mailing Fax Number | 6123781051 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | DAVID JAMES KUCERA (MASSAGE THERAPIST) |
| Authorized Official Telephone | 7634981986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | STATE ID NUMBER | 6608778 | 01 |
| Street Address |
2514 POLK ST NE # 2 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55418-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1154974913 | Magnolia Home Healthcare LLC | Durable Medical Equipment & Medical Supplies | 951 Ne Lowry Ave #314, Minneapolis, MN 55418 | 2019-07-22 |
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
| 1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
| 1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
| 1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
| 1477934438 | Hybrid Behavioral Health | Community/Behavioral Health | 2221 Polk St Ne, Minneapolis, MN 55418 | 2015-06-16 |
| 1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
| Find all providers in zip 55418 | ||||
| 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 |
|---|---|---|---|---|
| 1861009185 | Miesha Nicole Lewis | Massage Therapist | 3759 Thomas Ave N, Minneapolis, MN 55412-1840 | 2020-09-30 |
| 1588271928 | Cyarra Monique Swanson | Massage Therapist | 2708 Blaisdell Ave Apt B, Minneapolis, MN 55408-1524 | 2020-09-29 |
| 1902411648 | Dakota Lee Hain | Massage Therapist | 1121 Jackson St Ne Ste 119, Minneapolis, MN 55413-1597 | 2020-09-10 |
| 1568006005 | Alex Guillien | Massage Therapist | 34 13th Ave Ne Ste 109, Minneapolis, MN 55413-1007 | 2019-10-28 |
| 1093356883 | Montae Bailey | Massage Therapist | 1324 Quincy St Ne, Minneapolis, MN 55413-1541 | 2019-10-02 |
| 1689227845 | Reka Laeger-hagemeister | Massage Therapist | 4325 Nicollet Ave # 2, Minneapolis, MN 55409-2032 | 2019-07-17 |
| 1104488774 | Kari Jo Haugen | Massage Therapist | 3708 E 34th St, Minneapolis, MN 55406-2702 | 2019-07-03 |
| 1710472535 | Zulema L Leyva | Massage Therapist | 34 13th Ave Ne Ste B002c, Minneapolis, MN 55413-1091 | 2018-06-25 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| 1265921001 | Kenisha Fearon | Massage Therapist | 4748 Chicago Ave Ste 8, Minneapolis, MN 55407-4320 | 2018-05-07 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55418 |
Please comment or provide details below to improve the information on MIGHTY MASSAGE INC.
| 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.