Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Space Coast Massage Therapy Inc

Organization Massage Therapist · NPI 1740317635

Space Coast Massage Therapy Inc is a Massage Therapist in West Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1070 S Wickham Rd
West Melbourne, FL 32904-1653
Phone: (321) 729-9000
Fax: (321) 722-3997
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MM3853 (FL)

Record details

NPI number1740317635
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jody Stork — Proprietor · (321) 729-9000
NPI enumeratedFebruary 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1070 S Wickham Rd, West Melbourne, FL 32904-1653

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