The Spa at Yellow Creek LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

THE SPA AT YELLOW CREEK LLC

Practice address

3636 Yellow Creek Rd
Akron, OH 44333-2269

Phone

(330) 665-2555

Fax

(330) 665-3838

NPI assigned

Feb 10, 2022

Organization subpart

No

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

Authorized official

Name

Scott Kenneth Vazinski

Title

Executive Director

Phone

(330) 665-2555

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1841944667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 YELLOW CREEK RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332269",
            "telephone_number": "330-665-2555",
            "fax_number": "330-665-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 YELLOW CREEK RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332269",
            "telephone_number": "330-665-2555",
            "fax_number": "330-665-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPA AT YELLOW CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "VAZINSKI",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-665-2555"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@yellowcreekspa.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Coorespondance",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "form",
            "address_1": "3636 Yellow Creek Rd",
            "city": "Akron",
            "state": "OH",
            "country_code": "US",
            "postal_code": "443332269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.