Axis Massage Centre, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

AXIS MASSAGE CENTRE, INC.

Practice address

1712 Clarion Dr
Williamsport, PA 17701-1929

Phone

(570) 368-7580

Fax

(570) 329-3296

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Lee Kelly, CMT

Title

Certified Massage Therapist

Phone

(570) 368-7580

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881802486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 CLARION DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011929",
            "telephone_number": "570-368-7580",
            "fax_number": "570-329-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 CLARION DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011929",
            "telephone_number": "570-368-7580",
            "fax_number": "570-329-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS MASSAGE CENTRE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CERTIFIED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "570-368-7580",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Williamsport, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.