Meltdown Day Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT10532 Issued in SD

Legal business name

MELTDOWN DAY SPA

Practice address

105 11TH St NE
Watertown, SD 57201-2852

Phone

(605) 520-9320

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Miss Teresa Jane Shape, LMT

Title

Owner

Phone

(605) 520-9320

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1083169825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 11TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572012852",
            "telephone_number": "605-520-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 11TH ST NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572012852",
            "telephone_number": "605-520-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELTDOWN DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPE",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "605-520-9320",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT10532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Watertown, SD
• Providers in Watertown, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.