Healthcare Provider Details

I. General information

NPI: 1326962556
Provider Name (Legal Business Name): MAJESTIC MASSAGE & STRETCHING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2502 EVERGREEN CIR
MCHENRY IL
60050-8019
US

IV. Provider business mailing address

2502 EVERGREEN CIR
MCHENRY IL
60050-8019
US

V. Phone/Fax

Practice location:
  • Phone: 719-580-5601
  • Fax:
Mailing address:
  • Phone: 719-580-5601
  • 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: THOMAS JOSHUA BISHOP
Title or Position: OWN
Credential: LMT
Phone: 719-580-5601