MEDICARE: MASSAGE 22 LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1568395374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASSAGE 22 LLC

Provider Business Mailing Address
First Line	:	1276 N PALM CANYON DR STE 205A
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4430
Country	:	US
Telephone Number	:	720-719-0693
Fax Number	:

Provider Business Practice Location Address
First Line	:	1276 N PALM CANYON DR STE 205A
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262-4430
Country	:	US
Telephone Number	:	720-719-0693
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL J IWINSKI
Credential	:
Telephone Number	:	720-719-0693

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “MASSAGE 22 LLC ” Practice Location

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