Integrative Bodywork

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA20719 Issued in FL

Legal business name

INTEGRATIVE BODYWORK

Practice address

211 McLeod St
Merritt Island, FL 32953-3463

Phone

(321) 456-5051

NPI assigned

Feb 4, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Jim Fazio, L.M.T

Title

Massage Therapist

Phone

(321) 456-5051

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1699953570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MCLEOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533463",
            "telephone_number": "321-456-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MCLEOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533463",
            "telephone_number": "321-456-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "321-456-5051",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA20719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.