Enigma Salon and Spa Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

42456 Issued in FL

Legal business name

ENIGMA SALON AND SPA INC

Practice address

10335 Orangewood Blvd
Suite J
Orlando, FL 32821-8285

Phone

(321) 297-3723

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Michelle Noelle Bradford

Title

President and Massage Terapist

Phone

(321) 297-3723

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265599526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 ROLLING BROAK DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377469",
            "telephone_number": "321-297-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10335 ORANGEWOOD BLVD",
            "address_2": "SUITE J",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328218285",
            "telephone_number": "321-297-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENIGMA SALON AND SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "NOELLE",
        "authorized_official_title_or_position": "PRESIDENT AND MASSAGE TERAPIST",
        "authorized_official_telephone_number": "321-297-3723"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "42456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.