BROOKESIDE LLC
NPI 1528834207
Massage Therapist in Lake Havasu City, AZ

Active since December 04, 2023
80 ACOMA BLVD S STE 104&106, LAKE HAVASU CITY, AZ 86403(928) 453-1055 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookeside Llc NPPES

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

BROOKESIDE LLC (NPI 1528834207) is a healthcare organization registered as a massage therapist in Lake Havasu City, Arizona and active in the NPI registry since December 2023. The organization lists Brooke Nichole Foltz, Owner/massage Therapist, as its authorized official.

NPPES Registry Identity

NPI1528834207
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameBROOKESIDE LLC
Location Address80 ACOMA BLVD S STE 104&106Lake Havasu City, AZ 86403-6925
Mailing Address2827 Saratoga AveLake Havasu City, AZ 86406-6956 · (971) 273-9432 · Fax (928) 224-1775
Organization SubpartNo
Authorized OfficialBrooke Nichole FoltzOwner/massage Therapist · (971) 273-9432
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
NPI 1528834207 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.
80 ACOMA BLVD S STE 104&106, Lake Havasu City, AZ 86403

Other Identifiers 1

Medicaid1326770363AZ

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
80 ACOMA BLVD S STE 104&106
LAKE HAVASU CITY, AZ 86403

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 Brookeside LLC's NPI number?

The NPI number for Brookeside LLC is 1528834207. It was assigned to this organization in the NPPES registry on December 4, 2023.

Where is Brookeside LLC located?

Brookeside LLC is located at 80 Acoma Blvd S Ste 104&106, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-1055.

What is Brookeside 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 Brookeside LLC was last updated on December 4, 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.