{
"Npi": {
"NPI": "1811265549",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THERAPEUTIC MASSAGE, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1342 S HILLSDALE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HILLSDALE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49242-9367",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "517-439-4263",
"MailingAddressFaxNumber": "517-439-4263",
"FirstLinePracticeLocationAddress": "1342 S HILLSDALE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HILLSDALE",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49242-9367",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "517-439-4263",
"PracticeLocationAddressFaxNumber": "517-439-4263",
"EnumerationDate": "12/08/2011",
"LastUpdateDate": "12/08/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEAVER-RICH",
"AuthorizedOfficialFirstName": "TREESA",
"AuthorizedOfficialMiddleName": "MOREEN",
"AuthorizedOfficialTitle": "OWNER/MASSAGE THERAPIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "N.C.T.M.B.",
"AuthorizedOfficialTelephoneNumber": "517-439-4263",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "196655-00",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}