Triad Clinical Bodywork & Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

TRIAD CLINICAL BODYWORK & MASSAGE

Practice address

1165 E Main St
Bartow, FL 33830-5004

Phone

(863) 944-6357

NPI assigned

May 6, 2014

Organization subpart

No

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

Authorized official

Name

James Davis, LMT

Title

Massage Therapist

Phone

(863) 944-6357

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1831509298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 E MAIN ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305004",
            "telephone_number": "863-944-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 E MAIN ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338305004",
            "telephone_number": "863-944-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD CLINICAL BODYWORK & MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "863-944-6357",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usha Thombre, OTR
• Eddrena Thornton, OWNER
• Lynn Throtman
• Robin Thurman
• Marion Vincent Tolley Jr., ARNP
• Carmen Trindade-Sueldo, PHARMD
• Trinity Non-Emergency Transport Inc.
• Jenny Tucker-Dearden
• Jessica Tuthill
• U.S. Healthworks Medical Group of Florida, Inc.

• Massage Therapist in Bartow, FL
• Providers in Bartow, 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 6, 2014; 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.