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Phoenix Body & Mind, LLC

Massage Therapist in Deland, FL. Organization (NPI-2).

NPI number1689366148
StatusActive
Last updated in NPPESMay 23, 2023

Details

NPI
1689366148
Entity type
Organization (NPI-2)
Legal business name
Phoenix Body & Mind, LLC
Organization subpart
No
Enumeration date
May 23, 2023
Certification date
May 23, 2023
Last updated
May 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist––Yes

Practice location

547 E New York Ave Ste D
Deland, FL 32724-6081

Phone 386-873-2431

Mailing address

547 E New York Ave Ste D
Deland, FL 32724-6081

Phone 386-873-2431

Authorized official

Meghan Flannery Bramlett
Owner
4077901517

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