NORTH RIVER BODY THERAPIES NPI 1124371380

NPI Information

  • NPI: 1124371380
  • Provider Name: NORTH RIVER BODY THERAPIES
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Organization
  • Address: 1415 10TH ST E
    PALMETTO, FL
    ZIP 34221
  • Phone: (941) 721-4559

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NPI Details

NORTH RIVER BODY THERAPIES is a massage therapist in Palmetto, 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 1124371380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1415 10TH ST E
PALMETTO, FL
ZIP 34221-278
Phone: (941) 721-4559
Fax: (941) 721-0142

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

The enumeration date for this NPI number is 10/24/2012 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 TherapistMM10209FLORIDAYes

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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