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1619862364

NPI Code Detail

MEDICARE: MASSAGE HEALTHCARE OF AMERICA INC

MEDICARE: MASSAGE HEALTHCARE OF AMERICA INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	101353	OTHER	NV	PROMINENCE HEALTH PLAN OF NEVADA- MEDICARE ADVANTAGE
10	100003	OTHER	NV	AETNA MEDICARE PPO
14	100003	OTHER	NV	AETNA MEDICARE HMO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100158	OTHER	NV	HUMANA GOLD PLUS HMO
2	100268	OTHER	NV	TRICARE (NATIONWIDE)
4	101382	OTHER	NV	HEALTH PLAN OF NEVADA (SIERRA HEALTH SERVICES ENCOUNTERS)
5	84594	OTHER	NV	AMERICAN SPECIALTY HEALTH/ HEALTHFIRST
6	101382	OTHER	NV	SIERRA HEALTH AND LIFE (HEALTH PLAN OF NEVADA)
7	100268	OTHER	NV	TRICARE WEST
8	10082	OTHER	NV	CIGNA HEALTH PLAN PPO
9	100003	OTHER	NV	AETNA LIFE & CASUALTY COMPANY
11	10082	OTHER	NV	CIGNA
12	953402799	OTHER	NV	AETNA
13	100273	OTHER	NV	UNITED HEALTHCARE
15	ASH01	OTHER	NV	AMERICAN SPECIALTY HEALTH
16	100044	OTHER	NV	BLUE CROSS BLUE SHIELD NEVADA (ANTHEM BCBS NV)
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	100273	OTHER	NV	UNITED HEALTHCARE DUAL COMPLETE

General Provider Information

NPI Number	:	1619862364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASSAGE HEALTHCARE OF AMERICA INC

Provider Business Mailing Address
First Line	:	2481 W HORIZON RIDGE PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5926
Country	:	US
Telephone Number	:	775-515-7770
Fax Number	:	775-205-2105

Provider Business Practice Location Address
First Line	:	2481 W HORIZON RIDGE PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-5926
Country	:	US
Telephone Number	:	775-515-7770
Fax Number	:	775-205-2105

Authorized Official
Title or Position	:	CMMS/ BILLING SPECIALIST/LMT
Name	:	KEDRIAN G ZAHIROVIC
Credential	:	LYMPHATIC SPECIALIST
Telephone Number	:	775-515-7770

Provider Enumeration Date	:	06/12/2025
Last Update Date	:	02/18/2026

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Directions to “MASSAGE HEALTHCARE OF AMERICA INC ” Practice Location

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