NPIMap

Organization Active NPI

Spa Detoi LLC

Doing business as Sow Good Pamper lounge

  • Massage Therapist
  • Southfield, MI
National Provider Identifier
1861907628
Registry record updated Dec 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501005892 Issued in MI
Legal business name
SPA DETOI LLC
Doing business as
Sow Good Pamper lounge
Practice address
24777 Greenfield Rd
Southfield, MI 48075-3065
Phone
(248) 545-2800
NPI assigned
Dec 2, 2017
Last updated
Dec 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2017

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

Authorized official

Name
Andria RobinsonNPI 1689189441
Title
President
Phone
(248) 545-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X 7501005892 MI Primary

Addresses

Primary practice location

24777 Greenfield Rd
Southfield, MI 48075-3065

Mailing address

24777 Greenfield Rd
Southfield, MI 48075-3065
Phone (248) 545-2800

Other names 1

  • Sow Good Pamper lounge Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512172800000",
    "number": "1861907628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24777 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753065",
            "telephone_number": "248-545-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24777 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753065",
            "telephone_number": "248-545-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPA DETOI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-02",
        "last_updated": "2017-12-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "ANDRIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-545-2800"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501005892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sow Good Pamper lounge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2017; 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.