Restore With Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8205 Issued in NC

Legal business name

RESTORE WITH MASSAGE

Practice address

501 S Lee St
Gastonia, NC 28052-4011

Phone

(980) 241-8879

Fax

(704) 435-8298

NPI assigned

Jun 18, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Jaclyn M. Anthony

Title

President

Phone

(980) 241-8879

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1962639773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280210877",
            "telephone_number": "980-241-8879",
            "fax_number": "704-435-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S LEE ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524011",
            "telephone_number": "980-241-8879",
            "fax_number": "704-435-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE WITH MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "980-241-8879",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "8205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaitre Wellness Inc
• Stephanie D. Render, LPC, LCAS
• Reset Mental Health PLLC
• Resilience Operating Group
• Resilience Residential Services LLC
• Sienna Christine Reuter, PHARMD
• Margaret Revels, LPN
• Revizion Services
• Fernanda Reyes-Delgado
• Michael Takoda Reyes

• Massage Therapist in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.