Spirit Walk LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SPIRIT WALK LLC

Practice address

1776 Woodstead CT
Suite 104
The Woodlands, TX 77380

Phone

(281) 466-2585

NPI assigned

Jun 18, 2014

Organization subpart

No

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

Authorized official

Name

Nicolle Perrotto Zultowski, L.AC., LMT, LMI, RYT

Title

Owner

Phone

(832) 419-8286

Specialties & licenses 2

Addresses

Other names 1

• Spirit Walk LLC - Family and Women's Wellness Clinic/Studio Doing business as

Practitioners 1

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

• Nicolle Perrotto Zultowski, L.AC., LMT, LMI

  • Acupuncturist
  • The Woodlands, TX
  • NPI 1841536356
  NPD (past)

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1043624968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT",
            "address_2": "SUITE 104",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-466-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT",
            "address_2": "SUITE 104",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-466-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT WALK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "PERROTTO ZULTOWSKI",
        "authorized_official_first_name": "NICOLLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-419-8286",
        "authorized_official_credential": "L.AC., LMT, LMI, RYT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spirit Walk LLC - Family and Women's Wellness Clinic/Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.