Organization Active NPI

Wild Vine Wellness

  • Massage Therapist
  • Princeton, IN
National Provider Identifier
1831025378
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WILD VINE WELLNESS
Practice address
3331 W Broadway St
Princeton, IN 47670-8573
Phone
(812) 316-5025
NPI assigned
Jun 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Dr. Jessy Robbins, PHD, LMT, RYTNPI 1417754094
Title
Licensed Massage Therapist
Phone
(812) 316-5025

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

3331 W Broadway St
Princeton, IN 47670-8573

Mailing address

6405 S Lafferty Rd
Vincennes, IN 47591-9103
Phone (812) 316-5025

National Provider Directory

National Provider Directory

Locations

3331 W Broadway St
Princeton, IN 47670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1831025378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 S LAFFERTY RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475919103",
            "telephone_number": "812-316-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 W BROADWAY ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476708573",
            "telephone_number": "812-316-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILD VINE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "JESSY",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "812-316-5025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMT, RYT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.