PROACTIVE MASSAGE & BODYWORK LLC NPI 1952948481

NPI Information

  • NPI: 1952948481
  • Provider Name: PROACTIVE MASSAGE & BODYWORK, LLC
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 9291 LAUREL GROVE RD
    MECHANICSVILLE, VA
    ZIP 23116
  • Phone: (804) 559-7990

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NPI Details

PROACTIVE MASSAGE & BODYWORK, LLC is a massage therapist in Mechanicsville, VA. 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. PROACTIVE MASSAGE & BODYWORK, LLC NPI is 1952948481. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9291 LAUREL GROVE RD
MECHANICSVILLE, VA
ZIP 23116-969
Phone: (804) 559-7990

The provider's authorized official is Pamela Gail Heavner .
The authorized official title is Owner and has the following contact phone number (804) 559-7990.

The enumeration date for this NPI number is 12/3/2019 and was last updated on 12/3/2019.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10019003993MEDICAIDVIRGINIA

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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