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MASSAGE EVOLUTION LLC
NPI 1104535814
Clinic/Center - Health Service in Green Bay, WI

Active since November 21, 2022
2615 PACKERLAND DR STE F1, GREEN BAY, WI 54313(920) 288-1235 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Massage Evolution Llc NPPES

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

MASSAGE EVOLUTION LLC (NPI 1104535814) is a healthcare organization registered as a health service in Green Bay, Wisconsin and active in the NPI registry since November 2022. The organization lists Amy L Hacker, Co-president, as its authorized official.

NPPES Registry Identity

NPI1104535814
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameMASSAGE EVOLUTION LLC
Location Address2615 PACKERLAND DR STE F1Green Bay, WI 54313-5780
Mailing Address2615 Packerland Dr Ste F1Green Bay, WI 54313-5780 · (920) 288-1235
Phone(920) 288-1235
Organization SubpartNo
Authorized OfficialAmy L HackerCo-president · (920) 737-3452
Enumeration DateNovember 21, 2022
NPPES CertifiedNovember 21, 2022
✔ NPI 1104535814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
2615 PACKERLAND DR STE F1, Green Bay, WI 54313
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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 Evolution LLC's NPI number?

The NPI number for Massage Evolution LLC is 1104535814. It was assigned to this organization in the NPPES registry on November 21, 2022.

Where is Massage Evolution LLC located?

Massage Evolution LLC is located at 2615 Packerland Dr Ste F1, Green Bay, WI 54313. The listed phone number is (920) 288-1235.

What is Massage Evolution LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Massage Evolution LLC was last updated on November 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.