Organization Active NPI

Alive & Well a Holistic Center

  • Massage Therapist
  • Fort Myers, FL
National Provider Identifier
1497063556
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MM21660 Issued in FL
Legal business name
ALIVE & WELL A HOLISTIC CENTER
Practice address
9250 College Pkwy
Suite 3
Fort Myers, FL 33919-5804
Phone
(239) 226-9355
Fax
(239) 226-9351
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Ms. Keli Ackroyd, LMT, ND
Title
Owner
Phone
(239) 226-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MM21660 FL Primary

Addresses

Primary practice location

9250 College Pkwy
Suite 3
Fort Myers, FL 33919-5804

Mailing address

9250 College Pkwy
Suite 3
Fort Myers, FL 33919-5804
Phone (239) 226-9355

National Provider Directory

National Provider Directory

Locations

9250 College Pkwy
Ste 3
Fort Myers, FL 33919
Phone (239) 226-9355

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1497063556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 COLLEGE PKWY",
            "address_2": "SUITE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195804",
            "telephone_number": "239-226-9355",
            "fax_number": "239-226-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 COLLEGE PKWY",
            "address_2": "SUITE 3",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195804",
            "telephone_number": "239-226-9355",
            "fax_number": "239-226-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE & WELL A HOLISTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "ACKROYD",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-226-9355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT, ND"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MM21660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.