Organization Active NPI

Desir Holistic Therapy LLC

  • Massage Therapist
  • Saint Paul, MN
National Provider Identifier
1316808496
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
DESIR HOLISTIC THERAPY LLC
Practice address
576 Front Ave
Saint Paul, MN 55117-4709
Phone
(612) 405-5876
NPI assigned
Nov 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Widlyne Walker
Title
Ceo
Phone
(612) 405-5876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

576 Front Ave
Saint Paul, MN 55117-4709

Mailing address

PO Box 6836
Saint Paul, MN 55106-0836

National Provider Directory

National Provider Directory

Locations

576 Front Ave
Saint Paul, MN 55117
Phone (612) 405-5876

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1316808496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6836",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551060836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FRONT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551174709",
            "telephone_number": "612-405-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIR HOLISTIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WIDLYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-405-5876"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.