MIRAGE BODYWORK LLC NPI 1265354955

NPI Information

  • NPI: 1265354955
  • Provider Name: MIRAGE BODYWORK LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 39 N MAIN ST
    AMBLER, PA
    ZIP 19002
  • Phone: (267) 210-8139

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NPI Details

MIRAGE BODYWORK LLC is a massage therapist in Ambler, PA. The provider is 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. MIRAGE BODYWORK LLC NPI is 1265354955. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

39 N MAIN ST
AMBLER, PA
ZIP 19002-621
Phone: (267) 210-8139

The provider's authorized official is Miranda Bacon .
The authorized official title is Massage Therapist and has the following contact phone number (267) 210-8139.

The enumeration date for this NPI number is 7/27/2026 and was last updated on 7/27/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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