Therapeutic Bodywork & Massage, Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 41685 Issued in FL

Legal business name

THERAPEUTIC BODYWORK & MASSAGE, INC

Doing business as

7th Street Retreat

Practice address

303 E 7TH St
Panama City, FL 32401-3032

Phone

(850) 747-1277

Fax

(850) 784-4441

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Elizabeth Fusilier, L.M.T.

Title

President

Phone

(850) 747-1277

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 7th Street Retreat Doing business as

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902025711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E 7TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013032",
            "telephone_number": "850-747-1277",
            "fax_number": "850-784-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E 7TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013032",
            "telephone_number": "850-747-1277",
            "fax_number": "850-784-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC BODYWORK & MASSAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FUSILIER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-747-1277",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.T."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 41685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C3868",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "7th Street Retreat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Panama City, FL
• Providers in Panama City, FL by specialty
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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.