TERRA ORGANIC SPA
NPI 1942708359
Massage Therapist in Fayetteville, NY

Active since January 31, 2018
201 HIGHBRIDGE ST, FAYETTEVILLE, NY 13066(315) 637-0767 Get Directions Write a Review

NPPES record last updated: January 31, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Massage Therapist

About TERRA ORGANIC SPA

This page provides the complete NPI Profile along with additional information for Terra Organic Spa, a provider established in Fayetteville, New York operating as a Massage Therapist. The healthcare provider is registered in the NPI registry with number 1942708359 assigned on January 2018. The practitioner's primary taxonomy code is 225700000X with license number 016959 (NY). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Rachel M Mcclean Lmt (Owner)

NPI
1942708359 Verify this NPI
Provider Name
TERRA ORGANIC SPA
Entity Type
Organization
Location Address
201 HIGHBRIDGE ST FAYETTEVILLE, NY 13066
Location Phone
(315) 637-0767
Mailing Address
201 HIGHBRIDGE ST FAYETTEVILLE, NY 13066
Mailing Phone
(315) 440-7744
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2018
Last Update Date
01-31-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Massage Therapist

Taxonomy Code
225700000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
016959
License State
NY
Taxonomy Description
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.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RACHEL M MCCLEAN LMT

Authorized Official Title
OWNER
Authorized Official Phone
(315) 440-7744

Reviews for TERRA ORGANIC SPA

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Marriage & Family Therapist
201 HIGHBRIDGE ST
FAYETTEVILLE, NY 13066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942708359, enumerated as an "organization" on January 31, 2018.

The provider is located at 201 HIGHBRIDGE ST FAYETTEVILLE, NY 13066 and the phone number is (315) 637-0767.

Massage Therapist with taxonomy code 225700000X.