Active NPI
Alive & Well a Holistic Center
- Massage Therapist
- Fort Myers, FL
National Provider Identifier
1497063556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MM21660
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 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 DirectoryLocations
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.