1184810160 NPI number — PALM BEACH MASSAGE THERAPY, INC

Table of content: (NPI 1184810160)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184810160 NPI number — PALM BEACH MASSAGE THERAPY, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PALM BEACH MASSAGE THERAPY, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BACK IN SHAPE MASSAGE THERAPY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184810160
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/24/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
653 FAIRWIND DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH PALM BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33408-4302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
561-844-6777
Provider Business Mailing Address Fax Number:
561-841-1618

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13860 WELLINGTON TRCE
Provider Second Line Business Practice Location Address:
SUITE #13
Provider Business Practice Location Address City Name:
WELLINGTON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33414-8588
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
561-844-6777
Provider Business Practice Location Address Fax Number:
561-841-1618
Provider Enumeration Date:
09/24/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KONIDARE
Authorized Official First Name:
JAMIE
Authorized Official Middle Name:
LYNN
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
561-844-6777

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , with the licence number:  HCC7029 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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