NPIMap

Organization Active NPI

Muscle Menders Wellness Center LTD

  • Clinic/Center
  • Coshocton, OH
National Provider Identifier
1356504237
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
33.010121 Issued in OH
Legal business name
MUSCLE MENDERS WELLNESS CENTER LTD
Practice address
660 Main St
Coshocton, OH 43812-1613
Phone
(740) 623-5859
Fax
(740) 622-3972
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Ms. Tracy Lynn Kelton, RN, LMT, MMP, CNHP
Title
Owner
Phone
(740) 623-5859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 33.010121 OH Primary

Addresses

Primary practice location

660 Main St
Coshocton, OH 43812-1613

Mailing address

660 Main St
Coshocton, OH 43812-1613
Phone (740) 623-5859

National Provider Directory

National Provider Directory

Locations

660 Main St
Coshocton, OH 43812
Phone (740) 622-3971

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1356504237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MAIN ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121613",
            "telephone_number": "740-623-5859",
            "fax_number": "740-622-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MAIN ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121613",
            "telephone_number": "740-623-5859",
            "fax_number": "740-622-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCLE MENDERS WELLNESS CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "KELTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-623-5859",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, LMT, MMP, CNHP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "33.010121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.