PUR ZEN WELLNESS SPA LLC (NPI# 1760869325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760869325 |
| Entity Type | Organization |
| Organization Name | PUR ZEN WELLNESS SPA LLC |
| Practice Address |
1050 Mann St Kissimmee FL 34741-4121 |
| Practice Telephone | 4077447488 |
| Mailing Telephone | 4077447488 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |
| Authorized Official Name | YOLANDA SCOTT (LICENSED MASSAGE THERAPIST) |
| Authorized Official Telephone | 4077447488 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CH9671 | FL | Chiropractic Providers |
| Y | 225700000X | Massage Therapist | MA61445 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1050 MANN ST |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34741-4121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239834 | Kathia I Torres Cintron | Occupational Therapy Assistant | 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 | 2020-06-08 |
| 1992340046 | Zynia Spencer | Marriage & Family Therapist | 345 W. Oak St., Kissimmee, FL 34741 | 2019-11-13 |
| 1225597784 | Leila Rosado | Counselor | All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 | 2019-03-14 |
| 1235610312 | Yashirah Castillo | Behavior Technician | 230 Country Blvd, Apt 6, Kissimmee, FL 34741 | 2018-08-27 |
| 1376021352 | Julio Cesar Castellanos | Nurse Practitioner | 1050 W Carroll St Apt 149, Kissimmee, FL 34741 | 2018-08-01 |
| 1245724715 | Sonia Teresa Rodriguez | Counselor | 3438 W. Vine Street, Kissimmee, FL 34741 | 2018-06-19 |
| 1700376316 | Jessica Mateo | Social Worker | 111 E Monument Ave Unit 412, Kissimmee, FL 34741 | 2018-05-18 |
| 1306340880 | George Gianakakos | Psychiatry & Neurology | 720 W. Oak St., Suite 360, Kissimmee, FL 34741 | 2018-03-20 |
| 1154825693 | Mary Catherine Slome | Student in an Organized Health Care Education/Training Program | 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 | 2018-03-20 |
| 1457855991 | Sherwin Zachariah Thomas | Student in an Organized Health Care Education/Training Program | 720 W. Oak St., Ste 201, Kissimmee, FL 34741 | 2018-03-20 |
| Find all providers in zip 34741 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215548383 | Samantha Montalvo | Massage Therapist | 3229 Hillsdale Ln, Kissimmee, FL 34741-7561 | 2020-08-12 |
| 1285244822 | Martha Rojas | Massage Therapist | 3500 Sagamore Ln, Kissimmee, FL 34741-1522 | 2020-08-07 |
| 1639795792 | Nadrian Mcgill | Massage Therapist | 3633 Sail Harbor Dr, Kissimmee, FL 34746-1840 | 2020-06-24 |
| 1093218562 | Crystal Bethea | Massage Therapist | 394 Village Dr, Kissimmee, FL 34759-4009 | 2018-03-12 |
| 1639681281 | Susan Ann O'dea | Massage Therapist | 2673 San Simeon Way, Kissimmee, FL 34741-1582 | 2017-11-03 |
| 1649553579 | Carol B Langel | Massage Therapist | 2768 Tropical Lake Dr, Kissimmee, FL 34741-1235 | 2011-09-27 |
| 1124301437 | Candice Marie Trotter | Massage Therapist | 380 E Tropicana Ct, Kissimmee, FL 34741-1149 | 2011-09-22 |
| 1881973246 | Adams Jeremiah Brown | Massage Therapist | 1536 Dorado Dr Apt B, Kissimmee, FL 34741-2401 | 2011-08-16 |
| 1306142732 | Yolanda Nicole Scott | Massage Therapist | 813 Mountbatten Ln, Kissimmee, FL 34758-3024 | 2011-02-02 |
| 1053563379 | Rosemary Obregon | Massage Therapist | 9521 S. Orange Blossom Trail, Suite 102, Kissimmee, FL 32837 | 2008-10-17 |
| Find all providers in KISSIMMEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.