NPIMap

Organization Active NPI

Nickey & Co LLC

Doing business as Nickey & Co. The Relaxation Spa

  • Massage Therapist
  • Overland, MO
National Provider Identifier
1770115859
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
NICKEY & CO LLC
Doing business as
Nickey & Co. The Relaxation Spa
Practice address
2550 Woodson Rd
Overland, MO 63114-5437
Phone
(314) 254-7050
NPI assigned
Feb 6, 2020
Last updated
Feb 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Shalwan Smith
Title
Director
Phone
(314) 254-7050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

2550 Woodson Rd
Overland, MO 63114-5437

Mailing address

2550 Woodson Rd
Overland, MO 63114-5437
Phone (314) 254-7050

Other names 1

  • Nickey & Co. The Relaxation Spa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Wellness Spa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2550 Woodson Rd
Overland, MO 63114
Phone (314) 254-7050

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1770115859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WOODSON RD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145437",
            "telephone_number": "314-254-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WOODSON RD",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631145437",
            "telephone_number": "314-254-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICKEY & CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHALWAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-254-7050"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nickey & Co. The Relaxation Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.