Your Healing Space LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

YOUR HEALING SPACE LLC

Practice address

1089 Kinkead Ave
North Tonawanda, NY 14120-2840

Phone

(716) 474-9977

NPI assigned

Jul 24, 2012

Organization subpart

No

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

Authorized official

Name

Suzan Lupejkis, LMT

Title

Owner

Phone

(716) 474-9977

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1659627990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 KINKEAD AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202840",
            "telephone_number": "716-474-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 KINKEAD AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202840",
            "telephone_number": "716-474-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR HEALING SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "LUPEJKIS",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-474-9977",
        "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": []
}

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• Massage Therapist in North Tonawanda, NY
• Providers in North Tonawanda, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.