Remember Spa & Wellness Center

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA45229 Issued in FL

Legal business name

REMEMBER SPA & WELLNESS CENTER

Practice address

2627 N Atlantic Ave
Daytona Beach, FL 32118-3205

Phone

(386) 677-1444

NPI assigned

Jan 15, 2009

Last updated

Jan 15, 2009By 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

Rositsa R. Avdzhieva, BS IN PSYCHOLOGY

Title

Owner

Phone

(386) 677-1444

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1275770026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 N ATLANTIC AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183205",
            "telephone_number": "386-677-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 N ATLANTIC AVE",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321183205",
            "telephone_number": "386-677-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMEMBER SPA & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "AVDZHIEVA",
        "authorized_official_first_name": "ROSITSA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-677-1444",
        "authorized_official_credential": "BS IN PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA45229",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 44890",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM 21927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.