Cypress Blue Spa LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

CYPRESS BLUE SPA LLC

Practice address

1297 SW State Road 47
Lake City, FL 32025-0484

Phone

(850) 771-8550

NPI assigned

May 14, 2024

Last updated

May 14, 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

Michelle Layle, LMTNPI 1235840703

Title

Owner

Phone

(850) 771-8550

Specialties & licenses 1

Addresses

Locations

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.

• Michelle Layle, LMT

  • Massage Therapist
  • Lake City, FL
  • NPI 1235840703
  NPD Authorized official

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1811746795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 SW STATE ROAD 47",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250484",
            "telephone_number": "850-771-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 SW STATE ROAD 47",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250484",
            "telephone_number": "850-771-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS BLUE SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "LAYLE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-771-8550",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Terasa Cruce, DPT
• Kathleen Crumpton
• Jessica Cunningham
• Jordan Cunningham, ARNP
• Samantha Lonette Curry
• Victoria Anne D'Esposito, PA-C
• Suzanne Dailey
• Daina P Greene MD PA
• Dakota Diagnostics LLC
• Genetta I Dallas, LPN

• Massage Therapist in Lake City, FL
• Providers in Lake City, 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 14, 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.