Serenity Therapeutic Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MSG004082 Issued in PA

Legal business name

SERENITY THERAPEUTIC MASSAGE

Practice address

912 W Main St Ste 201
New Holland, PA 17557-9202

Phone

(717) 466-9102

Fax

(717) 556-8818

NPI assigned

Sep 30, 2016

Organization subpart

No

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

Authorized official

Name

Ioana J Weaver, LMT

Title

Licensed Massage Therapist/ Owner

Phone

(717) 466-9102

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1073062022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 W MAIN ST STE 201",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579202",
            "telephone_number": "717-466-9102",
            "fax_number": "717-556-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W MAIN ST STE 201",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175579202",
            "telephone_number": "717-466-9102",
            "fax_number": "717-556-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "IOANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST/ OWNER",
        "authorized_official_telephone_number": "717-466-9102",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "MSG004082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.