Active NPI
Spalyfe,LLC
- Massage Therapist
- Southfield, MI
National Provider Identifier
1790571057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Legal business name
- SPALYFE,LLC
- Practice address
- 26699 W 12 Mile Rd Ste 107
Southfield, MI 48034-7814 - Phone
- (734) 961-7124
- NPI assigned
- Apr 15, 2025
- Last updated
- Apr 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela Esther Pettway, L.M.T
- Title
- Owner
- Phone
- (734) 961-7124
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | NU | Primary |
Addresses
Primary practice location
26699 W 12 Mile Rd Ste 107
Southfield, MI 48034-7814
Mailing address
26699 W 12 Mile Rd Ste 107
Southfield, MI 48034-7814
Phone (734) 961-7124
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744675200000",
"number": "1790571057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26699 W 12 MILE RD STE 107",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480347814",
"telephone_number": "734-961-7124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26699 W 12 MILE RD STE 107",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480347814",
"telephone_number": "734-961-7124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPALYFE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A",
"authorized_official_last_name": "PETTWAY",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "ESTHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "734-961-7124",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "L.M.T"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.