Sacred Soul Wellness LLC
Massage Therapist in Montgomery, AL. Organization (NPI-2).
NPI number1982259180
StatusActive
Last updated in NPPESSep 21, 2021
Details
- NPI
- 1982259180
- Entity type
- Organization (NPI-2)
- Legal business name
- Sacred Soul Wellness LLC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2019
- Certification date
- Sep 21, 2021
- Last updated
- Sep 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
3576 Quad PkwyMontgomery, AL 36116-6750
Phone 334-333-1632 · Fax 334-621-1842
Mailing address
3576 Quad PkwyMontgomery, AL 36116-6750
Phone 334-333-1632 · Fax 334-621-1842
Authorized official
Tiffany Taft
Executive Director
3343331632
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