Massage Evolution LLC
NPI 1104535814 · Health Service Clinic/Center · Green Bay, WI
Massage Evolution LLC is a Health Service Clinic/Center organization in Green Bay, WI (NPI 1104535814).
Provider details
- NPI number
- 1104535814
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Hacker, Co-President(920) 737-3452
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Registry dates
- Enumerated
- 2022-11-21
- Last updated
- 2022-11-21
- Certified
- 2022-11-21
Frequently asked questions
- What is Massage Evolution LLC's NPI number?
- Massage Evolution LLC's National Provider Identifier (NPI) is 1104535814, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Massage Evolution LLC?
- Massage Evolution LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Massage Evolution LLC located?
- Massage Evolution LLC's practice location on file with NPPES is 2615 Packerland Dr Ste F1, Green Bay, WI 54313-5780.
- What is Massage Evolution LLC's phone number?
- The practice phone number listed in the NPPES registry for Massage Evolution LLC is (920) 288-1235.
- Who is the authorized official for Massage Evolution LLC?
- The authorized official listed on Massage Evolution LLC's NPPES record is Amy Hacker, Co-President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Massage Evolution LLC's NPI active?
- Yes — Massage Evolution LLC's NPI (1104535814) is active in the NPPES registry as of the last update on 2022-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.