Driftwood Yoga, Spa & Boutique, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

DRIFTWOOD YOGA, SPA & BOUTIQUE, INC.

Practice address

294 N NC 16 Business Hwy Ste B
Denver, NC 28037-8741

Phone

(813) 476-2431

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Jacqueline Regalado

Title

President

Phone

(813) 476-2431

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1982430708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 N NC 16 BUSINESS HWY STE B",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378741",
            "telephone_number": "813-476-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 N NC 16 BUSINESS HWY STE B",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280378741",
            "telephone_number": "813-476-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIFTWOOD YOGA, SPA & BOUTIQUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "REGALADO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-476-2431"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Denver, NC
• Providers in Denver, 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 Sep 9, 2024; 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.