Spa65 LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SPA65 LLC

Practice address

10008 Falls Rd
Potomac, MD 20854-4104

Phone

(240) 944-6265

NPI assigned

Jan 30, 2025

Organization subpart

No

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

Authorized official

Name

How Hu

Title

Manager

Phone

(240) 944-6265

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1033922190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10008 FALLS RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544104",
            "telephone_number": "240-944-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10008 FALLS RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544104",
            "telephone_number": "240-944-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA65 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "HU",
        "authorized_official_first_name": "HOW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "240-944-6265"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Potomac, MD
• Providers in Potomac, MD by specialty
• Massage Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.