Pur Zen Wellness Spa LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61445 Issued in FL

Legal business name

PUR ZEN WELLNESS SPA LLC

Practice address

1050 Mann St
Kissimmee, FL 34741-4121

Phone

(407) 744-7488

NPI assigned

May 4, 2015

Organization subpart

No

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

Authorized official

Name

Yolanda Scott, MA

Title

Licensed Massage Therapist

Phone

(407) 744-7488

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1760869325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MANN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414121",
            "telephone_number": "407-744-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MANN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414121",
            "telephone_number": "407-744-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUR ZEN WELLNESS SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "407-744-7488",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH9671",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA61445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Pullum
• Pulmonary Disease Specialists, PA
• Caroline Pupke, DO
• Nora A Pupo, RN BSN
• Yenisleidy Pupo
• Pure Care Ride LLC
• Marisol Purper
• Purple Cactus, LLC
• Purple Cactus, LLC
• Shaas Ibrahim Qadoumi

• Massage Therapist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.