Time Out Wellness Center & Day Spa

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MSG004415 Issued in PA

Legal business name

TIME OUT WELLNESS CENTER & DAY SPA

Practice address

108 Woodward Ave
Lock Haven, PA 17745-1625

Phone

(570) 748-4505

NPI assigned

Sep 24, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Audrey Elaine Yearick, LMT

Title

Owner

Phone

(570) 748-4505

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.

• Aud Elaine Yearick, LMT

  • Massage Therapist
  • Lock Haven, PA
  • NPI 1811339864
  NPD (past)

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1669874335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 WOODWARD AVE",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451625",
            "telephone_number": "570-748-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 WOODWARD AVE",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177451625",
            "telephone_number": "570-748-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIME OUT WELLNESS CENTER & DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "YEARICK",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-748-4505",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "MSG004415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Lynn Thomke, CRNP
• Danielle M Thompson, CRNP
• Natalie Thorley
• Tiadaghton Emergency Physicians
• Conner Timbrell
• Carrie Ann Timko, MD
• Kathryn Grace Todd
• Elizabeth Ann Toner, M.ED.
• Adrienne Christine Tounsel, M.D.
• Transitions Counseling and Rehabilitation Centers

• Clinic/Center in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Clinic/Center in Pennsylvania

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