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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SUMMIT WELLNESS OF DPSW LLC
NPI 1164349544
Massage Therapist in Mesa, AZ

Active since July 06, 2026
625 W SOUTHERN AVE STE 23, MESA, AZ 85210(602) 513-7722(480) 850-5860 Get Directions Write a Review

NPPES record added: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Summit Wellness Of Dpsw Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT WELLNESS OF DPSW LLC (NPI 1164349544) is a healthcare organization registered as a massage therapist in Mesa, Arizona and active in the NPI registry since July 2026. The organization lists Nick Gwyn, Coo, as its authorized official.

NPPES Registry Identity

NPI1164349544
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameSUMMIT WELLNESS OF DPSW LLC
Location Address625 W SOUTHERN AVE STE 23Mesa, AZ 85210-5030
Mailing Address2329 Edenborn AveMetairie, LA 70001-1815
Phone(602) 513-7722
Fax(480) 850-5860
Organization SubpartYes
Authorized OfficialNick GwynCoo · (504) 571-5355
Enumeration DateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1164349544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
Definition
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.
625 W SOUTHERN AVE STE 23, Mesa, AZ 85210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Wellness Of Dpsw LLC's NPI number?

The NPI number for Summit Wellness Of Dpsw LLC is 1164349544. It was assigned to this organization in the NPPES registry on July 6, 2026.

Where is Summit Wellness Of Dpsw LLC located?

Summit Wellness Of Dpsw LLC is located at 625 W Southern Ave Ste 23, Mesa, AZ 85210. The listed phone number is (602) 513-7722.

What is Summit Wellness Of Dpsw LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Summit Wellness Of Dpsw LLC was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.