Align Therapeutic Massage and Personal Retreat

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227005720 Issued in IL

Legal business name

ALIGN THERAPEUTIC MASSAGE AND PERSONAL RETREAT

Practice address

117 N Salem St
Cherry Valley, IL 61016-9349

Phone

(224) 805-3083

NPI assigned

Apr 25, 2012

Last updated

Mar 18, 2013By 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

Andrea Reynolds

Title

President

Phone

(224) 805-3083

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1447518667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N SALEM ST",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N SALEM ST",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169349",
            "telephone_number": "224-805-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN THERAPEUTIC MASSAGE AND PERSONAL RETREAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-805-3083"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227005720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Mobile Wound Solutions LLC
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• Cherry Valley Fire Protection District
• James Edgar Wayne Drake, D.C.
• Patricia Dussair, PH.D.

• Massage Therapist in Cherry Valley, IL
• Providers in Cherry Valley, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.