TLC Massage and Spa Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TLC MASSAGE AND SPA INC

Practice address

102 Minnie St
Crystal Lake, IL 60014-4385

Phone

(815) 356-5710

NPI assigned

Mar 26, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly A Peterson, MASSAGE THERAPIST

Title

Maanging Director

Phone

(847) 207-0285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1124778758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MINNIE ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144385",
            "telephone_number": "815-356-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MINNIE ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144385",
            "telephone_number": "815-356-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MASSAGE AND SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MAANGING DIRECTOR",
        "authorized_official_telephone_number": "847-207-0285",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Thompson, MS, CCC-SLP, CLC
• Justina Thurmond
• Krishna Tikiwala, DPM
• Timothy J. Hayes, Psy.D.P.C.
• TLC Centers for Therapy
• George Toliopoulos, RPH
• Kelsy Elizabeth Tomlin, PT, DPT
• Manette Tomlinson
• Ariadna Alicia Torres-Gorena, DDS, MSD
• Total Renal Care Inc

• Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.