Carlton Wellness Studio LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

CARLTON WELLNESS STUDIO LLC

Practice address

455 W Main St
Carlton, OR 97111-8904

Phone

(503) 852-3099

NPI assigned

Dec 23, 2019

Organization subpart

No

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

Authorized official

Name

Heather A Clark, LMT

Title

Owner

Phone

(503) 852-3099

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Pearson, L.M.T., CD-L

  • Massage Therapist
  • Carlton, OR
  • NPI 1568735348
  NPD

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1942849872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601",
            "city": "CARLTON",
            "state": "OR",
            "postal_code": "971110601",
            "telephone_number": "503-852-3099",
            "fax_number": "503-852-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W MAIN ST",
            "city": "CARLTON",
            "state": "OR",
            "postal_code": "971118904",
            "telephone_number": "503-852-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLTON WELLNESS STUDIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-852-3099",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia J Baxter
• Kaleb Anthony Baynes
• Sarah Asenath Call
• Carlton Dental
• Carlton Dental, LLC
• Jeremiah W Cook, LMT
• Jillian M Crossgrove, BSM, CPM, LDM
• Jacqueline Gambee
• Jennifer Kelley
• Llama a Un Amigo

• Massage Therapist in Carlton, OR
• Providers in Carlton, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.