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MASSAGE REVOLUTION
NPI 1104253285
Massage Therapist in Jackson, MS

Active since October 03, 2013
210 E CAPITOL ST, SUITE M-142, JACKSON, MS 39201(601) 918-1853 Get Directions Write a Review

NPPES record last updated: October 3, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Massage Revolution NPPES

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

MASSAGE REVOLUTION (NPI 1104253285), doing business as Massage Revolution, Llc, is a healthcare organization registered as a massage therapist in Jackson, Mississippi and active in the NPI registry since October 2013. The organization lists Abraham Santa Cruz, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1104253285
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameMASSAGE REVOLUTION
Location Address210 E CAPITOL ST, SUITE M-142Jackson, MS 39201-2306
Mailing Address210 E Capitol St, Suite M-142Jackson, MS 39201-2306 · (601) 918-1853
Phone(601) 918-1853
Organization SubpartNo
Authorized OfficialAbraham Santa CruzOperations Manager · (601) 918-1853
Enumeration DateOctober 3, 2013
✔ NPI 1104253285 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
License✔ Licensed in MS · 2027
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.
210 E CAPITOL ST, Jackson, MS 39201
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Other Names 1

Former Legal Business NameMassage Revolution, Llc

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 REVOLUTION
Specialist
210 E CAPITOL ST, STE M-142
JACKSON, MS 39201
Hinds County (601) 918-1853

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 Massage Revolution's NPI number?

The NPI number for Massage Revolution is 1104253285. It was assigned to this organization in the NPPES registry on October 3, 2013. The provider was formerly known as Massage Revolution, LLC.

Where is Massage Revolution located?

Massage Revolution is located at 210 E Capitol St Suite M-142, Jackson, MS 39201. The listed phone number is (601) 918-1853.

What is Massage Revolution'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 Massage Revolution was last updated on October 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.