Gravity Body Fitness & Structural Academy

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

447028-00 Issued in CA

Legal business name

GRAVITY BODY FITNESS & STRUCTURAL ACADEMY

Practice address

1050 E. River Road
Suite 200
Tucson, AZ 85718

Phone

(520) 495-0438

NPI assigned

Aug 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Richard Clark Sr.

Title

Founder / Ceo

Phone

(858) 232-3708

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1174770010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E. RIVER ROAD",
            "address_2": "SUITE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "telephone_number": "520-495-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E. RIVER ROAD",
            "address_2": "SUITE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "telephone_number": "520-495-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAVITY BODY FITNESS & STRUCTURAL ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "FOUNDER / CEO",
        "authorized_official_telephone_number": "858-232-3708",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "447028-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Michelle Graun, M.ED.
• Cindy Graupmann
• Anjelica Graves
• Justin Graves, DDS
• Matthew Lee Gravett, PA-C
• Audrey Marie Gray, PA-C
• Genevive Gray
• James S Gray, M.D.
• John C Gray, MD
• Kimberly Elaine Gray, APRN

• Massage Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.