Spinal Connections Wellness Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPINAL CONNECTIONS WELLNESS CENTER LLC

Doing business as

Spinal Connections Wellness Center LLC

Practice address

415 Mountain Dr
Destin, FL 32541-7327

Phone

(951) 505-7600

NPI assigned

Aug 11, 2025

Organization subpart

No

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

Authorized official

Name

Kleidy BotichNPI 1750061115

Title

Massage Therapist

Phone

(951) 505-7600

Specialties & licenses 3

Addresses

Other names 1

• Spinal Connections Wellness Center LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kleidy L Botich, MASSAGE THERAPIST

  • Massage Therapist
  • Destin, FL
  • NPI 1750061115
  NPD Authorized official

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1295610020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 SANDALWOOD CIR",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325784213",
            "telephone_number": "951-505-7600",
            "fax_number": "951-505-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 MOUNTAIN DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325417327",
            "telephone_number": "951-505-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CONNECTIONS WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-10",
        "status": "A",
        "authorized_official_last_name": "BOTICH",
        "authorized_official_first_name": "KLEIDY",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "951-505-7600"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spinal Connections Wellness Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Walton Medical Center Inc
• Anne Noles Sparks, EDID LMHC
• Emily Sparks, LCSW
• Lowery H Sparks, O.D.
• Diane D Speedling, M.D.
• Spine Institute on the Emerald Coast (Coastal Neurosurgery & Spine)
• Marilyn T Sprenkle, M.D.
• Heather Stahl, PTA
• Rebecca Lynn Stark, RPH
• Jamey Morgan Starling, L.M.T.

• Clinic/Center in Destin, FL
• Providers in Destin, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.