Organization Active NPI

Ebb and Flow Co

Doing business as Ebb & Flow Massage Therapy

  • Massage Therapist
  • Richmond, KY
National Provider Identifier
1134005333
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
EBB AND FLOW CO
Doing business as
Ebb & Flow Massage Therapy
Practice address
105 E St Ste 5
Richmond, KY 40475-1607
Phone
(859) 353-3118
NPI assigned
Aug 13, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Davonna Wallen, LMTNPI 1932060605
Title
Ceo/LMT
Phone
(606) 791-8741

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 Therapist 225700000X Primary

Addresses

Primary practice location

105 E St Ste 5
Richmond, KY 40475-1607

Mailing address

105 E St Ste 5
Richmond, KY 40475-1607
Phone (859) 353-3118

Other names 1

  • Ebb & Flow Massage Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

105 E St
Ste 5
Richmond, KY 40475
Phone (606) 791-8741

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1134005333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E ST STE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751607",
            "telephone_number": "859-353-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E ST STE 5",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404751607",
            "telephone_number": "859-353-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBB AND FLOW CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "WALLEN",
        "authorized_official_first_name": "DAVONNA",
        "authorized_official_title_or_position": "CEO/LMT",
        "authorized_official_telephone_number": "606-791-8741",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebb & Flow Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.