Therapeutic Skin Care and Massage Center

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

MM19222 Issued in FL

Legal business name

THERAPEUTIC SKIN CARE AND MASSAGE CENTER

Practice address

12951 Metro Parkway
Suite 14
Fort Myers, FL 33966-1390

Phone

(239) 481-1111

Fax

(239) 561-8719

NPI assigned

Jul 10, 2008

Last updated

Jul 10, 2008By 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

Mr. Normand Bastien, L.M.T

Title

Owner Therapeutic Skincare and Mass

Phone

(239) 481-1111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1265695175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12951 METRO PARKWAY",
            "address_2": "SUITE 14",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661390",
            "telephone_number": "239-481-1111",
            "fax_number": "239-561-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12951 METRO PARKWAY",
            "address_2": "SUITE 14",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339661390",
            "telephone_number": "239-481-1111",
            "fax_number": "239-561-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC SKIN CARE AND MASSAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "BASTIEN",
        "authorized_official_first_name": "NORMAND",
        "authorized_official_title_or_position": "OWNER THERAPEUTIC SKINCARE AND MASS",
        "authorized_official_telephone_number": "239-481-1111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MM19222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afton D Theobald
• Michael R Theobald, M.D.
• Arielle Theodore, LMHC
• Evan T. Theoharis, M.D.
• Therapeutic Massage of Southwest Florida, Inc.
• Therapy First LLC
• Therapy Treatment Team LLC
• Therapy Treatment Team, LLC
• Mark Thetford
• William Hamilton Thetford, DPM

• Reflexologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Reflexologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.