MEDICARE: SPA FLOW STUDIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1346184280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPA FLOW STUDIO

Provider Business Mailing Address
First Line	:	PO BOX 624
Second Line	:
City	:	COLLEGE PARK
State	:	MD
Zip	:	20741-0624
Country	:	US
Telephone Number	:	202-270-9687
Fax Number	:

Provider Business Practice Location Address
First Line	:	1108 K ST NW FL 2
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-4094
Country	:	US
Telephone Number	:	202-557-4713
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	JEANETTA JOSEPH
Credential	:	LMT
Telephone Number	:	202-270-9687

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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Directions to “SPA FLOW STUDIO ” Practice Location

Language	Start Address	Practice Location

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