Massage Revolution
NPI 1104253285 · Massage Therapist · Jackson, MS
Massage Revolution is a Massage Therapist organization in Jackson, MS (NPI 1104253285).
Provider details
- NPI number
- 1104253285
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Abraham Santa Cruz, Operations Manager(601) 918-1853
- License
- 2027 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Massage Revolution, LLC
Registry dates
- Enumerated
- 2013-10-03
- Last updated
- 2013-10-03
Frequently asked questions
- What is Massage Revolution's NPI number?
- Massage Revolution's National Provider Identifier (NPI) is 1104253285, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Massage Revolution?
- Massage Revolution is classified in the NPPES registry as Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Massage Revolution located?
- Massage Revolution's practice location on file with NPPES is 210 E Capitol St, Jackson, MS 39201-2306.
- What is Massage Revolution's phone number?
- The practice phone number listed in the NPPES registry for Massage Revolution is (601) 918-1853.
- Who is the authorized official for Massage Revolution?
- The authorized official listed on Massage Revolution's NPPES record is Abraham Santa Cruz, Operations Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Massage Revolution's NPI active?
- Yes — Massage Revolution's NPI (1104253285) is active in the NPPES registry as of the last update on 2013-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.