The Kulture Spa

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

THE KULTURE SPA

Practice address

1788 Heritage Center Dr Ste 202
Wake Forest, NC 27587-3972

Phone

(919) 656-1088

NPI assigned

Apr 22, 2024

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jovhannah Tisdale, LMBTNPI 1588346027

Title

Owner

Phone

(919) 656-1088

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jovhannah Tisdale, LMBT

  • Massage Therapist
  • Wake Forest, NC
  • NPI 1588346027
  Authorized official Same address or phone

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1710732904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 HERITAGE CENTER DR STE 202",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873972",
            "telephone_number": "919-656-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1788 HERITAGE CENTER DR STE 202",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873972",
            "telephone_number": "919-656-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KULTURE SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "JOVHANNAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-656-1088",
        "authorized_official_credential": "LMBT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Wake Forest, NC
• Providers in Wake Forest, 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 Apr 22, 2024; 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.