Organization Active NPI

Mended Willow

  • Massage Therapist
  • Fayetteville, NC
National Provider Identifier
1033086434
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MENDED WILLOW
Practice address
108 Hay St Ste 221
Fayetteville, NC 28301-5686
Phone
(910) 286-2603
Fax
(910) 595-6014
NPI assigned
Oct 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Andrea L Flowers, LMBT,MMPNPI 1093389389
Title
Owner / Member
Phone
(910) 286-2603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

108 Hay St Ste 221
Fayetteville, NC 28301-5686

Mailing address

108 Hay St Ste 221
Fayetteville, NC 28301-5686
Phone (910) 286-2603

National Provider Directory

National Provider Directory

Locations

108 Hay St
Ste 221
Fayetteville, NC 28301
Phone (910) 286-2603

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1033086434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HAY ST STE 221",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015686",
            "telephone_number": "910-286-2603",
            "fax_number": "910-565-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 HAY ST STE 221",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015686",
            "telephone_number": "910-286-2603",
            "fax_number": "910-595-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDED WILLOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER / MEMBER",
        "authorized_official_telephone_number": "910-286-2603",
        "authorized_official_credential": "LMBT,MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.