LIFESTYLES MASSAGE INC (NPI# 1356624704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356624704 |
| Entity Type | Organization |
| Organization Name | LIFESTYLES MASSAGE INC |
| Other Organization Name | REVELATION MASSAGE |
| Practice Address |
600 Turner St Suite 3 Auburn ME 04210-5299 |
| Practice Telephone | 2073763233 |
| Practice Fax Number | 2073763236 |
| Mailing Telephone | 2073763233 |
| Mailing Fax Number | 2073763236 |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2011-09-22 |
| Authorized Official Name | MRS. KIMBERLEY JANE JACQUES (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2073763233 |
| Authorized Official Credential | LMT |
| 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 |
| Other Name | Type Code |
|---|---|
| Revelation Massage | Doing Business As Name - Organization |
| Street Address |
600 TURNER ST SUITE 3 |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-5299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003180126 | Richelle Lorinda Keefe | Massage Therapist | 600 Turner St, Suite 3, Auburn, ME 04210-5299 | 2012-03-07 |
| 1932473220 | Valerie Lynn Myer | Massage Therapist | 600 Turner St, Suite 3, Auburn, ME 04210-5299 | 2012-03-04 |
| 1932473212 | Micaela Reid Kimball | Massage Therapist | 600 Turner St, Suite 3, Auburn, ME 04210-5299 | 2012-03-03 |
| 1952684052 | Jessica Lynne Parks | Massage Therapist | 600 Turner St, Suite 3, Auburn, ME 04210-5299 | 2011-09-25 |
| 1467735696 | Colby Brooks | Massage Therapist | 600 Turner St, Auburn, ME 04210-5299 | 2011-09-23 |
| 1821371287 | Jessica Hubley | Social Worker | 600 Turner St, Auburn, ME 04210-5299 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| 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 |
|---|---|---|---|---|
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1184230393 | Kelly Ann Wilkinson | Massage Therapist | 2260 E University Dr Apt 9b, Auburn, AL 36830-3342 | 2020-09-22 |
| 1740895861 | Jamie Leann Burnett | Massage Therapist | 102 1/2 Hillmont Ave, Auburn, CA 95603-4849 | 2020-09-15 |
| 1245845619 | Alyssa Michelle Miles | Massage Therapist | 31004 Military Rd S, Auburn, WA 98001-3218 | 2020-09-12 |
| 1033740444 | J & B LLC | Massage Therapist | 620 Auburn Way S Ste I, Auburn, WA 98002-6000 | 2020-02-04 |
| 1093346199 | Alyson Kate Sylvester | Massage Therapist | 990 Minot Ave, Auburn, ME 04210-3719 | 2020-01-28 |
| 1336770403 | Qinghua Zhao | Massage Therapist | 1101 Outlet Collection Way #1324, Auburn, WA 98001 | 2020-01-28 |
| 1841821154 | Sufang Liang | Massage Therapist | 1101 Outlet Collection Way, #1324, Auburn, WA 98001 | 2020-01-27 |
| 1295389682 | Lenora Burnett Pruzan | Massage Therapist | 4017 A St Se # B101, Auburn, WA 98002-8607 | 2019-07-24 |
| 1457910572 | Barbara Jeanne Doone | Massage Therapist | 1146 Minot Ave, Auburn, ME 04210-3739 | 2019-06-12 |
| Find all providers in AUBURN | ||||
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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.