Organization Active NPI

Dor Life Spa Healing Hands and Wellness LLC

  • Massage Therapist
  • Wellington, FL
National Provider Identifier
1194376939
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
DOR LIFE SPA HEALING HANDS AND WELLNESS LLC
Practice address
12794 Forest Hill Blvd Ste 18a
Wellington, FL 33414-4717
Phone
(561) 557-4177
NPI assigned
Sep 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Authorized official

Name
Frenette Dor, MASSAGE THERAPIST
Title
Owner
Phone
(561) 557-4177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

12794 Forest Hill Blvd Ste 18a
Wellington, FL 33414-4717

Mailing address

12794 Forest Hill Blvd Ste 18a
Wellington, FL 33414-4717
Phone (561) 557-4177

Other names 1

  • Dor life spa and wellness Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569196800000",
    "number": "1194376939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12794 FOREST HILL BLVD STE 18A",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144717",
            "telephone_number": "561-557-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12794 FOREST HILL BLVD STE 18A",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144717",
            "telephone_number": "561-557-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOR LIFE SPA HEALING HANDS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A",
        "authorized_official_last_name": "DOR",
        "authorized_official_first_name": "FRENETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-557-4177",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dor life spa and wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.