Organization Active NPI

Temples Holistic Wellness, LLC

  • Massage Therapist
  • Melbourne, FL
National Provider Identifier
1588088256
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA63118 Issued in FL
Legal business name
TEMPLES HOLISTIC WELLNESS, LLC
Practice address
2263 W New Haven Ave # 221
Melbourne, FL 32904-3805
Phone
(321) 987-2389
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Tier Andrea Spellman, LMT, CEO
Title
Owner/Ceo
Phone
(321) 987-2389

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA63118 FL Primary

Addresses

Primary practice location

2263 W New Haven Ave # 221
Melbourne, FL 32904-3805

Mailing address

2263 W New Haven Ave # 221
Melbourne, FL 32904-3805
Phone (321) 987-2389

National Provider Directory

National Provider Directory

Locations

2263 W New Haven Ave
#221
Melbourne, FL 32904
Phone (321) 987-2389

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1588088256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2263 W NEW HAVEN AVE # 221",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043805",
            "telephone_number": "321-987-2389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2263 W NEW HAVEN AVE # 221",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329043805",
            "telephone_number": "321-987-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLES HOLISTIC WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "SPELLMAN",
        "authorized_official_first_name": "TIER",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "321-987-2389",
        "authorized_official_credential": "LMT, CEO"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA63118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.