Organization Active NPI

The Community Wellness Center LLC

Doing business as The Community Wellness Center

  • Massage Therapist
  • Lake Mills, IA
National Provider Identifier
1568200053
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
THE COMMUNITY WELLNESS CENTER LLC
Doing business as
The Community Wellness Center
Practice address
105 W Main St Ste a
Lake Mills, IA 50450-1470
Phone
(319) 432-5089
NPI assigned
Jul 18, 2024
Last updated
Jul 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Amy Stucky, CMMT, LMT, HP
Title
Owner/Founder
Phone
(319) 432-5089

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

105 W Main St Ste a
Lake Mills, IA 50450-1470

Mailing address

105 W Main St Ste a
Lake Mills, IA 50450-1470
Phone (319) 432-5089

Other names 1

  • The Community Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

105 W Main St
Ste A
Lake Mills, IA 50450
Phone (319) 432-5089

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1568200053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W MAIN ST STE A",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501470",
            "telephone_number": "319-432-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W MAIN ST STE A",
            "city": "LAKE MILLS",
            "state": "IA",
            "postal_code": "504501470",
            "telephone_number": "319-432-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COMMUNITY WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "STUCKY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "319-432-5089",
        "authorized_official_credential": "CMMT, LMT, HP"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Community Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Mills, IA

Sources for this page

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