Healthcare Provider Details

I. General information

NPI: 1568395374
Provider Name (Legal Business Name): MASSAGE 22 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 N PALM CANYON DR STE 205A
PALM SPRINGS CA
92262-4430
US

IV. Provider business mailing address

1276 N PALM CANYON DR STE 205A
PALM SPRINGS CA
92262-4430
US

V. Phone/Fax

Practice location:
  • Phone: 720-719-0693
  • Fax:
Mailing address:
  • Phone: 720-719-0693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL J IWINSKI
Title or Position: OWNER
Credential:
Phone: 720-719-0693