Kingdom Wellness

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

KINGDOM WELLNESS

Practice address

1617 S Tuttle Ave Ste 1B
Sarasota, FL 34239-3100

Phone

(941) 376-4217

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Courtney King, LMT

Title

Owner

Phone

(941) 376-4217

Specialties & licenses 2

Addresses

Other names 1

• Kingdom Wellness Massage Therapy Other name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1396453692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4856 HARRIS AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342334028",
            "telephone_number": "941-376-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 S TUTTLE AVE STE 1B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393100",
            "telephone_number": "941-376-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-376-4217",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "kingdomwellsrq@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1617 S Tuttle Ave Ste 1B",
            "city": "Sarasota",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342393100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kingdom Wellness Massage Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martha McRacken King
• Neysa Ann King
• Scott J King, M.D.
• Sydney William King, M.D.
• Kinga Kondor-Hine
• Kinzie Counseling & Consultation LLC
• Kenneth M Kinzie, M.S.W., LCSW
• Brian Kiracofe
• Deborah Lynn Kirby, LCSW
• Cynthia Milos Kirchberg, OTL

• Massage Therapist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.