Organization Active NPI

Willow Tree Massage

  • Massage Therapist
  • Ozark, AL
National Provider Identifier
1568185668
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WILLOW TREE MASSAGE
Practice address
1548 S US Highway 231 Ste E1
Ozark, AL 36360-4516
Phone
(334) 443-0460
NPI assigned
Sep 22, 2022
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Anna M Deal, LMTNPI 1629791678
Title
Co-Owner & Massage Therapist
Phone
(334) 443-0460

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 Therapist 225700000X NU Primary

Addresses

Primary practice location

1548 S US Highway 231 Ste E1
Ozark, AL 36360-4516

Mailing address

1548 S US Highway 231 Ste E1
Ozark, AL 36360-4516
Phone (334) 443-0460

National Provider Directory

National Provider Directory

Locations

1548 S US Highway 231
Ste E1
Ozark, AL 36360
Phone (334) 443-0460

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1568185668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 S US HIGHWAY 231 STE E1",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363604516",
            "telephone_number": "334-443-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1548 S US HIGHWAY 231 STE E1",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "363604516",
            "telephone_number": "334-443-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW TREE MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "DEAL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CO-OWNER & MASSAGE THERAPIST",
        "authorized_official_telephone_number": "334-443-0460",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.