Elemental Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ELEMENTAL MASSAGE LLC

Practice address

725 SE Baya Dr Ste 101
Lake City, FL 32025-6092

Phone

(501) 563-4607

NPI assigned

Feb 5, 2021

Organization subpart

No

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

Authorized official

Name

Cathy Rhodes, LMTNPI 1043816143

Title

Manager

Phone

(501) 563-4607

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Cathy Rhodes, LMT

  • Massage Therapist
  • Lake City, FL
  • NPI 1043816143
  NPD Authorized official
• Katrina Tannachion

  • Massage Therapist
  • Lake City, FL
  • NPI 1215533310
  NPD

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1982296554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SE BAYA DR STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256092",
            "telephone_number": "501-563-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SE BAYA DR STE 101",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256092",
            "telephone_number": "501-563-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTAL MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "RHODES",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-563-4607",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elementalmassage.kc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business  email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Lake City",
            "address_1": "725 SE Baya Dr Ste 101",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320256092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Helen Emery, DPT
• Ryan Emilio, LMSW
• Elijah Curtiss Emond

• Massage Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.