Healthcare Provider Details

I. General information

NPI: 1710896550
Provider Name (Legal Business Name): PEAK MASSAGE AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1353 WOODMAN DR
DAYTON OH
45432-3425
US

IV. Provider business mailing address

1867 N LAKEMAN DR
BELLBROOK OH
45305-1209
US

V. Phone/Fax

Practice location:
  • Phone: 937-551-0735
  • Fax:
Mailing address:
  • Phone: 928-243-4811
  • 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: NOAH RANDALL WHITTLE
Title or Position: OWNER AND MASSAGE THERAPIST
Credential: LMT, BCTMB, SFC, CPT
Phone: 937-551-0735