Dream City Spa LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

DREAM CITY SPA LLC

Practice address

119 Timber Dr
Garner, NC 27529-4878

Phone

(919) 900-8919

NPI assigned

Aug 16, 2022

Organization subpart

No

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

Authorized official

Name

Latasha Lynette Wilson, LMTNPI 1235028770

Title

Chief Operations Officer

Phone

(704) 579-4217

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Latasha Lynette Wilson, LMBT

  • Massage Therapist
  • Garner, NC
  • NPI 1235028770
  NPD Authorized official

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1598483570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 TIMBER DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294878",
            "telephone_number": "919-900-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 TIMBER DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294878",
            "telephone_number": "919-900-8919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAM CITY SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "704-579-4217",
        "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": []
}

• Kerry M Dowd, LCSW
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• Jessica Dungee

• Massage Therapist in Garner, NC
• Providers in Garner, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.