=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437065059
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INTEGRATIVE MASSAGE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/22/2026
-----------------------------------------------------
Last Update Date | 08/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4820 77TH ST W STE 150
-----------------------------------------------------
City | MINNEAPOLIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55435-4822
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-900-2176
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8241 PENNSYLVANIA RD
-----------------------------------------------------
City | MINNEAPOLIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55438-1138
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-900-2176
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/OWNER
-----------------------------------------------------
Name | JOSEPH HEIN
-----------------------------------------------------
Credential | CMT
-----------------------------------------------------
Telephone | 651-900-2176
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------