Therapeutic Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1999-0253 Issued in WV

Legal business name

THERAPEUTIC MASSAGE

Practice address

3534 Teays Valley Rd
Hurricane, WV 25526-9054

Phone

(760) 310-0530

NPI assigned

Aug 15, 2014

Last updated

Aug 15, 2014By 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

Shelley Fernley, LMT

Title

Owner

Phone

(760) 310-0530

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1528467560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 THOROUGHBRED RD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609679",
            "telephone_number": "760-310-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3534 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269054",
            "telephone_number": "760-310-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "FERNLEY",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-310-0530",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "1999-0253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teays Valley Eye Care
• Teays Valley Family Medicine, Inc.
• Teays Valley Family Medicine, Inc.
• Teays Valley Haven Limited Partnership (Teays Valley Center)
• Sarah Thacker-Wheeler
• Annie Eliza Thompson, COTA/L
• Apriil Thompson, RN
• Kelsey Thompson, PT, DPT
• Lauren Thompson
• Micha Rae Thompson

• Massage Therapist in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Massage Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.