Elemental Massage LLC
Massage Therapist in Lake City, FL. Organization (NPI-2).
NPI number1982296554
StatusActive
Last updated in NPPESFeb 5, 2021
Details
- NPI
- 1982296554
- Entity type
- Organization (NPI-2)
- Legal business name
- Elemental Massage LLC
- Organization subpart
- No
- Enumeration date
- Feb 5, 2021
- Certification date
- Feb 5, 2021
- Last updated
- Feb 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
725 Se Baya Dr Ste 101Lake City, FL 32025-6092
Phone 501-563-4607
Mailing address
725 Se Baya Dr Ste 101Lake City, FL 32025-6092
Phone 501-563-4607
Authorized official
Cathy Rhodes
Manager
5015634607
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All 53 Massage Therapist providers in Lake City · All 1,973 providers in Lake City
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