Healthcare Provider Details

I. General information

NPI: 1073418174
Provider Name (Legal Business Name): NORTH IOWA MASSAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 4TH ST SW STE C
MASON CITY IA
50401-3836
US

IV. Provider business mailing address

423 4TH ST SW STE C
MASON CITY IA
50401-3836
US

V. Phone/Fax

Practice location:
  • Phone: 515-473-5066
  • Fax:
Mailing address:
  • Phone: 515-473-5066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ROBERT REED
Title or Position: OWNER
Credential: L.M.T.
Phone: 515-509-5555