
WELCOME!
Fill out Health History and Massage Release forms below:
Health History
Massage Informed Consent
Other Forms:
Physicians Medical Release
Minor Consent Form
Insurance
We are all fully out of network with all other networks. We DO accept HSA/FSA cards. At end of full payment cash service, we can provide clients with an emailed receipt called a Superbill. This is for you to provide your insurance provider to work with them to submit and receive reimbursement directly.
REMEMBER: YOU MAY NEED A DR RX to get your reimbursement!​​​
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Massage CPT code is 97124
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Massage sessions are 4 units
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Our Group NPI is: NPI #: 1346134012
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Massage License Number: #61590681
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Please see available ICD 10 codes on the download for if you don't have a Dr Rx. They will look something like M94.50 (low back pain)
See SuperBill Below: