1. Home
  2. Directory
  3. Florida
  4. West Melbourne
  5. Massage Therapist
  6. NPI Profile

SPACE COAST MASSAGE THERAPY INC.
NPI 1740317635
Massage Therapist in West Melbourne, FL

Active since February 27, 2007
1070 S WICKHAM RD, WEST MELBOURNE, FL 32904(321) 729-9000(321) 722-3997 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Space Coast Massage Therapy Inc. NPPES

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

SPACE COAST MASSAGE THERAPY INC. (NPI 1740317635) is a healthcare organization registered as a massage therapist in West Melbourne, Florida and active in the NPI registry since February 2007. The organization lists Jody Stork, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1740317635
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameSPACE COAST MASSAGE THERAPY INC.
Location Address1070 S WICKHAM RDWest Melbourne, FL 32904-1653
Mailing Address1070 S Wickham RdWest Melbourne, FL 32904-1653 · (321) 729-9000 · Fax (321) 722-3997
Phone(321) 729-9000
Fax(321) 722-3997
Organization SubpartNo
Authorized OfficialJody StorkProprietor · (321) 729-9000
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1740317635 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
License✔ Licensed in FL · MM3853
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.
1070 S WICKHAM RD, West Melbourne, FL 32904
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARY P WOLFE LMT
Massage Therapist
1070 S WICKHAM RD
W MELBOURNE, FL 32904
Brevard County (321) 729-9000
CANUEL CHIROPRACTIC & MASSAGE, INC
Chiropractor
1070 S WICKHAM RD
W MELBOURNE, FL 32904
Brevard County (321) 499-4608
DR. EDWARD ANDREW GILBERT D.C.
Chiropractor
1070 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 751-2333
DR. STEPHEN HENRY CANUEL D.C
Chiropractor
1070 S WICKHAM RD
WEST MELBOURNE, FL 32904
Brevard County (321) 499-4608

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 Space Coast Massage Therapy Inc.'s NPI number?

The NPI number for Space Coast Massage Therapy Inc. is 1740317635. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Space Coast Massage Therapy Inc. located?

Space Coast Massage Therapy Inc. is located at 1070 S Wickham Rd, West Melbourne, FL 32904. The listed phone number is (321) 729-9000.

What is Space Coast Massage Therapy Inc.'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 Space Coast Massage Therapy Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.