Massage Revolution
Massage Revolution is a healthcare organization registered as Massage Therapist in Jackson, MS, holding Type 2 (organization) NPI 1104253285 since 2013. The authorized official on file is Abraham Santa Cruz, Operations Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104253285 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Massage Revolution |
| Other name | <Unavail> |
| Practice address | 210 E CAPITOL ST, SUITE M-142, Jackson, MS, 39201 |
| Phone | 6019181853 |
| Enumeration date | 2013-10-03 |
| Last updated in NPPES | 2013-10-03 |
Authorized official
| Name | Abraham Santa Cruz |
|---|---|
| Title | Operations Manager |
| Phone | 6019181853 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225700000X | Massage Therapist | Primary | 2027 | MS |
Copy-ready billing details
Provider: Massage Revolution NPI: 1104253285 Taxonomy: 225700000X (Massage Therapist) Address: 210 E CAPITOL ST, SUITE M-142, Jackson, MS, 39201
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053754580 | Massage Revolution | Organization | Specialist | Jackson, MS |
Verify this record
Cross-check NPI 1104253285 against the authoritative CMS record: view Massage Revolution on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Massage Revolution?
What is the NPI number for Massage Revolution?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2013-10-03.