Sole'Renity Spa, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SOLE'RENITY SPA, INC.

Practice address

1001 W 1St St
Sulphur, OK 73086-4818

Phone

(580) 622-8128

Fax

(580) 622-6350

NPI assigned

Aug 13, 2021

Last updated

Aug 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rhonda Carol Pitmon

Title

President/Director

Phone

(940) 736-5054

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1215602065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730860711",
            "telephone_number": "940-736-5054",
            "fax_number": "580-622-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 1ST ST",
            "city": "SULPHUR",
            "state": "OK",
            "postal_code": "730864818",
            "telephone_number": "580-622-8128",
            "fax_number": "580-622-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLE'RENITY SPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "PITMON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "940-736-5054"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.