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

Space Coast Massage Therapy Inc

Organization Massage Therapist · NPI 1740317635

Space Coast Massage Therapy Inc provides Massage Therapist services 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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