NORTH RIVER BODY THERAPIES NPI 1083879464

NPI Information

  • NPI: 1083879464
  • Provider Name: NORTH RIVER BODY THERAPIES
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 905 25TH DR E
    ELLENTON, FL
    ZIP 34222
  • Phone: (941) 721-4559

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NPI Details

NORTH RIVER BODY THERAPIES is a massage therapist in Ellenton, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. NORTH RIVER BODY THERAPIES NPI is 1083879464. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

905 25TH DR E
ELLENTON, FL
ZIP 34222-053
Phone: (941) 721-4559
Fax: (941) 721-0142

The provider's authorized official is Nicole Ann Deitrick .
The authorized official title is Owner/provider and has the following contact phone number (941) 721-4559.

The enumeration date for this NPI number is 7/24/2008 and was last updated on 10/16/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA29664FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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