Stone Springs Wellness

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT111365 Issued in TX

Legal business name

STONE SPRINGS WELLNESS

Practice address

3520 Victorine LN Apt a
Del Valle, TX 78617-3032

Phone

(512) 520-7840

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Jason Danner Minnix

Title

Director

Phone

(512) 520-7840

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1508126020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 VICTORINE LN APT A",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786173032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 VICTORINE LN APT A",
            "city": "DEL VALLE",
            "state": "TX",
            "postal_code": "786173032",
            "telephone_number": "512-520-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE SPRINGS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "MINNIX",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DANNER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "512-520-7840"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT111365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Del Valle, TX
• Providers in Del Valle, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.