MASSAGE THERAPY SERVICES NPI 1386912707

NPI Information

  • NPI: 1386912707
  • Provider Name: MASSAGE THERAPY SERVICES
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 290 CLYDE MORRIS BLVD
    ORMOND BEACH, FL
    ZIP 32174
  • Phone: (386) 258-7900

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NPI Details

MASSAGE THERAPY SERVICES is a specialist in Ormond Beach, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MASSAGE THERAPY SERVICES NPI is 1386912707. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

290 CLYDE MORRIS BLVD
ORMOND BEACH, FL
ZIP 32174-130
Phone: (386) 258-7900
Fax: (386) 898-0459

The provider's authorized official is Thomas Joseph Fasone .
The authorized official title is Owner and has the following contact phone number (386) 258-7900.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 12/13/2011.

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
1174400000XSpecialistMA-14579FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C-5306OTHERFLORIDABLUE CROSS BLUE SHIELD

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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