Structural Integrative Bodywork

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 20965 Issued in FL

Legal business name

STRUCTURAL INTEGRATIVE BODYWORK

Practice address

595 N Nova Rd
Suite 115
Ormond Beach, FL 32174-4424

Phone

(321) 271-1678

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Lauree Moretto

Title

Owner

Phone

(321) 271-1678

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1831633494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JASPER DR",
            "city": "FLAGLER BEACH",
            "state": "FL",
            "postal_code": "321363429",
            "telephone_number": "321-271-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N NOVA RD",
            "address_2": "SUITE 115",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744424",
            "telephone_number": "321-271-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRUCTURAL INTEGRATIVE BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "MORETTO",
        "authorized_official_first_name": "LAUREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-271-1678"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA 20965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Stillings-Burch, CRNFA
• Stanley Francis Stockhammer Jr., D.O.
• Nicole Strang, PA-C
• Cynthia Ann Streifer, LMFT
• Jason Striedel, CNIM, DC
• Tammy Stuve
• Michael James Suah, M.D.
• Success Speech Therapy, LLC
• Kayla Sullivan
• Suncoast New Options Rosewood Avenue, LLC

• Specialist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2016; 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.