MEDISAGE LLC NPI 1760811400

NPI Information

  • NPI: 1760811400
  • Provider Name: MEDISAGE, LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 5016 S ASH AVE
    SUITE 105
    TEMPE, AZ
    ZIP 85282
  • Phone: (623) 295-9001

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NPI Details

MEDISAGE, LLC is a massage therapist in Tempe, AZ. The provider is 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. MEDISAGE, LLC NPI is 1760811400. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5016 S ASH AVE
SUITE 105
TEMPE, AZ
ZIP 85282-845
Phone: (623) 295-9001

The provider's authorized official is John M Bonk .
The authorized official title is Owner/operator and has the following contact phone number (623) 295-9001.

The enumeration date for this NPI number is 11/4/2013 and was last updated on 11/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMT-18159ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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