Organization · NPI-2
Absolute Medical Massage Of Brevard, LLC
Reflexologist · Melbourne, FL
NPI number1851758338
StatusActive
Last updated in NPPESJan 28, 2016
Details
- NPI
- 1851758338
- Entity type
- Organization (NPI-2)
- Legal business name
- Absolute Medical Massage Of Brevard, LLC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2016
- Last updated
- Jan 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 173C00000X | Reflexologist | – | – | Yes |
Practice location
1220 Prospect AveSte 203
Melbourne, FL 32901-7396
Phone 321-591-7672
Mailing address
1220 Prospect AveSte 203
Melbourne, FL 32901
Phone 321-591-7672
Authorized official
Laura M Hayes
Owner
3215917672
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