NPIMap

Organization Active NPI

Selflove Wellness Spa

  • Massage Therapist
  • El Paso, TX
National Provider Identifier
1548097983
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SELFLOVE WELLNESS SPA
Practice address
6500 Boeing Dr Ste T5
El Paso, TX 79925-1091
Phone
(915) 282-3862
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Yvette C Gutierrez, LMTNPI 1215795307
Title
Owner/Massage Therapist
Phone
(915) 282-3862

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6500 Boeing Dr Ste T5
El Paso, TX 79925-1091

Mailing address

6500 Boeing Dr Ste 105
El Paso, TX 79925-1063
Phone (915) 282-3862

Other practice location 1

4242 Hondo Pass Dr Ste 105
El Paso, TX 79904-1211
Phone (915) 282-3862

Other names 1

  • SelfLove Wellness Spa Former legal business name

National Provider Directory

National Provider Directory

Locations

6500 Boeing Dr
Ste T5
El Paso, TX 79925
Phone (915) 282-3862

4242 Hondo Pass Dr
Ste 105
El Paso, TX 79904
Phone (915) 282-3862

6500 Boeing Dr
Ste 105
El Paso, TX 79925

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1548097983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 BOEING DR STE 105",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251063",
            "telephone_number": "915-282-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 BOEING DR STE T5",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251091",
            "telephone_number": "915-282-3862"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4242 Hondo Pass Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799041211",
            "country_code": "US",
            "telephone_number": "915-282-3862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELFLOVE WELLNESS SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "915-282-3862",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SelfLove Wellness Spa",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.