MASSAGE ON MILLE LACS
NPI 1912541897
Massage Therapist in Isle, MN

Active since November 04, 2019
295 MAIN ST W # 851, ISLE, MN 56342(763) 219-0163 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Massage Therapist

About MASSAGE ON MILLE LACS

This page provides the complete NPI Profile along with additional information for Massage On Mille Lacs, a provider established in Isle, Minnesota operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1912541897 assigned on November 2019. The practitioner's primary taxonomy code is 225700000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Massage On Mille Lacs operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tracy Gallati Cmt (Owner)

NPI
1912541897 Verify this NPI
Provider Name
MASSAGE ON MILLE LACS
Entity Type
Organization
Location Address
295 MAIN ST W # 851 ISLE, MN 56342
Location Phone
(763) 219-0163
Mailing Address
295 MAIN ST W # 851 ISLE, MN 56342
Mailing Phone
(763) 219-0163
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2019
Last Update Date
11-04-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TRACY GALLATI CMT

Authorized Official Title
OWNER
Authorized Official Phone
(763) 219-0163

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
55897OTHER (01)MNWC AND AUTO

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912541897, enumerated as an "organization" on November 04, 2019.

The provider is located at 295 MAIN ST W # 851 ISLE, MN 56342 and the phone number is (763) 219-0163.

Massage Therapist with taxonomy code 225700000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.