TLC Massage, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA0012117 Issued in FL

Legal business name

TLC MASSAGE, INC

Practice address

2072 S Military TRL
Suite 7
West Palm Beach, FL 33415-6419

Phone

(561) 965-5500

Fax

(561) 965-5592

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Nellie Esther Rendon, LMTNPI 1891703062

Title

License Massage Therapist

Phone

(561) 965-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tender Loving Care Massage & Skin Therapy Doing business as

Locations

Practitioners 1

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

• Nellie Esther Rendon, LMT

  • Specialist
  • West Palm Beach, FL
  • NPI 1891703062
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083622161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2774 POINTE CIR",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334132153",
            "telephone_number": "561-439-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2072 S MILITARY TRL",
            "address_2": "SUITE 7",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334156419",
            "telephone_number": "561-965-5500",
            "fax_number": "561-965-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MASSAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "LICENSE MASSAGE THERAPIST",
        "authorized_official_telephone_number": "561-965-5500",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA0012117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC ESTABLISMENT",
            "identifier": "MM11805",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Loving Care Massage & Skin Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Keith Toale, PHARMD

• Specialist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.