So Serene Massage Day Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SO SERENE MASSAGE DAY SPA

Practice address

58 N Charles Richard Beall Blvd Ste I
Debary, FL 32713-2212

Phone

(352) 514-9494

NPI assigned

Jan 9, 2023

Last updated

Jan 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aivia V Jones, LMT

Title

Owner

Phone

(352) 514-9494

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1417661018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 N CHARLES RICHARD BEALL BLVD STE I",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132212",
            "telephone_number": "352-514-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N CHARLES RICHARD BEALL BLVD STE I",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327132212",
            "telephone_number": "352-514-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO SERENE MASSAGE DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "AIVIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-514-9494",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "address_1": "58 N Charles Richard Beall Blvd Ste I",
            "city": "Debary",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327132212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.