Active NPI
La Paz Salon
- Massage Therapist
- Bradenton, FL
National Provider Identifier
1659825529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- LA PAZ SALON
- Practice address
- 9020 58TH Dr E
Bradenton, FL 34202-6107 - Phone
- (610) 212-8865
- NPI assigned
- Aug 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kiel Unger, LMT
- Title
- Director
- Phone
- (610) 212-8865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
9020 58TH Dr E
Bradenton, FL 34202-6107
Mailing address
10927 Kirkwall Port Dr
Wimauma, FL 33598-6146
Phone (610) 212-8865
National Provider Directory
National Provider DirectoryLocations
9020 58th Dr E
Bradenton, FL 34202
Phone (610) 212-8865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470700800000",
"number": "1659825529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10927 KIRKWALL PORT DR",
"city": "WIMAUMA",
"state": "FL",
"postal_code": "335986146",
"telephone_number": "610-212-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9020 58TH DR E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342026107",
"telephone_number": "610-212-8865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA PAZ SALON",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-09",
"last_updated": "2016-08-09",
"status": "A",
"authorized_official_last_name": "UNGER",
"authorized_official_first_name": "KIEL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "610-212-8865",
"authorized_official_name_prefix": "Mr.",
"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": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.