Organization · NPI-2
Absolute Medical Massage, LLC
Reflexologist · Melbourne, FL
NPI number1780982389
StatusActive
Last updated in NPPESMar 5, 2011
Details
- NPI
- 1780982389
- Entity type
- Organization (NPI-2)
- Legal business name
- Absolute Medical Massage, LLC
- Organization subpart
- No
- Enumeration date
- Mar 5, 2011
- Last updated
- Mar 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 173C00000X | Reflexologist | MA#51649 | FL | Yes |
Practice location
1220 Prospect AveSuite 202
Melbourne, FL 32901-7396
Phone 321-591-7672
Mailing address
1220 Prospect AveSuite 202
Melbourne, FL 32901-7396
Phone 321-591-7672
Authorized official
Etta L Walters
Owner
3215917672
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