NPIMap

Organization Active NPI

Obey Your Body Spa & Salon LLC

  • Massage Therapist
  • Cleveland, OH
National Provider Identifier
1366954398
Registry record updated Oct 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
33.023653 Issued in OH
Legal business name
OBEY YOUR BODY SPA & SALON LLC
Practice address
10607 Drexel Ave
Cleveland, OH 44108-3604
Phone
(216) 299-5280
NPI assigned
Oct 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2017

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

Authorized official

Name
Mrs. Jacqulyn C Ingram, LMTNPI 1689186611
Title
Owner
Phone
(216) 299-5280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 33.023653 OH Primary

Addresses

Primary practice location

10607 Drexel Ave
Cleveland, OH 44108-3604

Mailing address

10607 Drexel Ave
Cleveland, OH 44108-3604
Phone (216) 299-5280

National Provider Directory

National Provider Directory

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": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1366954398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10607 DREXEL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441083604",
            "telephone_number": "216-299-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10607 DREXEL AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441083604",
            "telephone_number": "216-299-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBEY YOUR BODY SPA & SALON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "JACQULYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-299-5280",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.023653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.