MOONLIGHT VALLEY MEDICAL MASSAGE, LLC
NPI 1013790500
Massage Therapist in Ash Grove, MO

Active since August 17, 2023
102 MOONLIGHT VALLEY DR, ASH GROVE, MO 65604(417) 839-9726(417) 263-3099 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Moonlight Valley Medical Massage, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOONLIGHT VALLEY MEDICAL MASSAGE, LLC (NPI 1013790500) is a healthcare organization registered as a massage therapist in Ash Grove, Missouri and active in the NPI registry since August 2023. The organization maintains a secondary practice location in Springfield and lists Katrina Rochelle Chambers, Owner, as its authorized official.

NPPES Registry Identity

NPI1013790500
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameMOONLIGHT VALLEY MEDICAL MASSAGE, LLC
Location Address102 MOONLIGHT VALLEY DRAsh Grove, MO 65604-8160
Mailing Address102 Moonlight Valley DrAsh Grove, MO 65604-8160 · (417) 839-9726 · Fax (417) 263-3099
Fax(417) 263-3099
Organization SubpartNo
Authorized OfficialKatrina Rochelle ChambersOwner · (417) 839-9726
Enumeration DateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
NPI 1013790500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
102 MOONLIGHT VALLEY DR, Ash Grove, MO 65604

Secondary Practice Location 1

Location 1227 E Sunshine St Ste 104Springfield, MO 65807-2630 · Phone (417) 839-9726 · Fax (417) 263-3099

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
102 MOONLIGHT VALLEY DR
ASH GROVE, MO 65604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Moonlight Valley Medical Massage, LLC's NPI number?

The NPI number for Moonlight Valley Medical Massage, LLC is 1013790500. It was assigned to this organization in the NPPES registry on August 17, 2023.

Where is Moonlight Valley Medical Massage, LLC located?

Moonlight Valley Medical Massage, LLC is located at 102 Moonlight Valley Dr, Ash Grove, MO 65604. The listed phone number is (417) 839-9726.

What is Moonlight Valley Medical Massage, LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Moonlight Valley Medical Massage, LLC was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.