Organization Active NPI

Mind and Body Massage, Health and Wellness LLC

  • Massage Therapist
  • Fayetteville, NC
National Provider Identifier
1093243222
Registry record updated Jun 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12235 Issued in NC
Legal business name
MIND AND BODY MASSAGE, HEALTH AND WELLNESS LLC
Practice address
5330 Raeford Rd
Fayetteville, NC 28304-3074
Phone
(910) 307-7320
NPI assigned
Jun 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2017

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

Authorized official

Name
Miss Arnetta Sturdivant, LMBT,NPI 1154859858
Title
Licensed Massage Therpist/ Owner
Phone
(910) 307-7320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 12235 NC Primary

Addresses

Primary practice location

5330 Raeford Rd
Fayetteville, NC 28304-3074

Mailing address

5330 Raeford Rd
Fayetteville, NC 28304-3074
Phone (910) 307-7320

Other names 1

  • MInd and Body Massage and Day Spa Doing business as

National Provider Directory

National Provider Directory

Locations

5330 Raeford Rd
Fayetteville, NC 28304
Phone (910) 307-7320

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496275200000",
    "number": "1093243222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043074",
            "telephone_number": "910-307-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043074",
            "telephone_number": "910-307-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND AND BODY MASSAGE, HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2017-06-01",
        "status": "A",
        "authorized_official_last_name": "STURDIVANT",
        "authorized_official_first_name": "ARNETTA",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERPIST/ OWNER",
        "authorized_official_telephone_number": "910-307-7320",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMBT,"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "12235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MInd and Body Massage and Day Spa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MInd and Body Massage and Day Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2017; 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.