Roots 2 Wellness, LLC
Massage Therapist in Winter Park, FL. Organization (NPI-2).
NPI number1982255865
StatusActive
Last updated in NPPESOct 1, 2019
Details
- NPI
- 1982255865
- Entity type
- Organization (NPI-2)
- Legal business name
- Roots 2 Wellness, LLC
- Organization subpart
- No
- Enumeration date
- Sep 23, 2019
- Last updated
- Oct 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
2100 Lee Rd Ste FWinter Park, FL 32789-1862
Phone 407-756-3005
Mailing address
Po Box 1101Winter Park, FL 32790-1101
Phone 407-756-3005
Authorized official
Justin Eric Mainit
Owner/Practice Manager
4077563005
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