Up North Wellness and Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

UP NORTH WELLNESS AND MASSAGE LLC

Practice address

2780 Charlevoix Rd Ste 12
Petoskey, MI 49770-8058

Phone

(231) 489-8008

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Madell, LMTNPI 1003202912

Title

Co Owner

Phone

(231) 489-8008

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Elizabeth Madell, LMT

  • Massage Therapist
  • Petoskey, MI
  • NPI 1003202912
  NPD Authorized official
• Sarah Johnson, LMT

  • Massage Therapist
  • Petoskey, MI
  • NPI 1053842062
  NPD (past)

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1588236830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 CHARLEVOIX RD STE 12",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708058",
            "telephone_number": "231-489-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 CHARLEVOIX RD STE 12",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708058",
            "telephone_number": "231-489-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP NORTH WELLNESS AND MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "MADELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "231-489-8008",
        "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": []
}

• Riley J Turcott, O.D.
• Heather Turner
• Twin Oaks Mental Health Center, LLC
• Sarah Louise Tyndall, RN
• Up North Family Counseling, LLC
• Adam Utley, PHARM.D.
• Mason Sylar Valor, PHD, LPC, CAADC
• Lindsay Sophia Van Daele, LLMSW
• Theresa Van Fleet
• Craig Theodore Van Woudenberg, DC

• Massage Therapist in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.