The Healing Temple LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

M02825 Issued in MD

Legal business name

THE HEALING TEMPLE LLC

Practice address

11 W Patrick St
Suite 300
Frederick, MD 21701-5511

Phone

(301) 448-7945

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Ileana Monica Sutter

Title

Owner

Phone

(301) 448-7945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1871953679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W PATRICK ST",
            "address_2": "SUITE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015511",
            "telephone_number": "301-448-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W PATRICK ST",
            "address_2": "SUITE 300",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015511",
            "telephone_number": "301-448-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING TEMPLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "ILEANA",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-448-7945"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MD",
            "license": "M02825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.