{
"Npi": {
"NPI": "1265853444",
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"ReplacementNPI": null,
"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOLISTIC THERAPEUTIC KNEADS,INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2206 PORSHA LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HIGH POINT",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27265-1469",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "336-307-9090",
"MailingAddressFaxNumber": "336-841-6984",
"FirstLinePracticeLocationAddress": "2201 EASTCHESTER DR",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "HIGH POINT",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27265-1516",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "336-355-8398",
"PracticeLocationAddressFaxNumber": "336-841-6984",
"EnumerationDate": "12/14/2013",
"LastUpdateDate": "12/14/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STACHES",
"AuthorizedOfficialFirstName": "GRETA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "AM, LMBT, MMP",
"AuthorizedOfficialTelephoneNumber": "336-307-9090",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225700000X",
"TaxonomyName": "Massage Therapist",
"LicenseNumber": "11850",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}