Millennium Salon and Spa, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

1186 Issued in PA

Legal business name

MILLENNIUM SALON AND SPA, INC.

Practice address

299 S Main St
Wilkes Barre, PA 18701-2201

Phone

(570) 823-0654

Fax

(570) 270-0449

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria M Preat, NCMMT

Title

Vice President Massage Therapist

Phone

(570) 823-0654

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538293840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 S MAIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187012201",
            "telephone_number": "570-823-0654",
            "fax_number": "570-270-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 S MAIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187012201",
            "telephone_number": "570-823-0654",
            "fax_number": "570-270-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM SALON AND SPA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PREAT",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT  MASSAGE THERAPIST",
        "authorized_official_telephone_number": "570-823-0654",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NCMMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "1186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Mieczkowski III
• John Miele
• Kelsey L Mihal, CRNA
• Charles Milazzo
• Steven Milewski, PA
• Brian D Miller, DMD
• Donald Eugene Miller II
• Jacob Victor Miller, MD
• Jessica Miller, CNM
• Jessy Miller, CADC

• Massage Therapist in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.