Axios Health Spa, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

52193 Issued in FL

Legal business name

AXIOS HEALTH SPA, LLC

Practice address

1122 Thomasville Rd Ste 3
Tallahassee, FL 32303-8702

Phone

(407) 285-3354

NPI assigned

Aug 15, 2013

Organization subpart

No

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

Authorized official

Name

Chantelle Yandow

Title

Owner

Phone

(407) 285-3354

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1962835843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 TERRACE HOLLOW CT UNIT 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 THOMASVILLE RD STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323038702",
            "telephone_number": "407-285-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIOS HEALTH SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-15",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "YANDOW",
        "authorized_official_first_name": "CHANTELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-285-3354"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "52193",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "33054",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "41296",
            "primary": false
        }
    ],
    "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 Aug 15, 2013; 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.