Healthcare Provider Details

I. General information

NPI: 1023945110
Provider Name (Legal Business Name): SIMPLY HOLISTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S MAIN ST
CELINA OH
45822-2201
US

IV. Provider business mailing address

120 W MAIN ST
COLDWATER OH
45828-1701
US

V. Phone/Fax

Practice location:
  • Phone: 419-586-6688
  • Fax:
Mailing address:
  • Phone: 419-763-1140
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMBER EVERS
Title or Position: OWNER
Credential:
Phone: 567-644-9182