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INTERVENTION MASSAGE LLC NPI 1164002556


NPI Information

NPI: 1164002556
Provider Name: INTERVENTION MASSAGE, LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
425 AVALON PARK SOUTH BLVD STE 600
ORLANDO, FL
ZIP 32828
Phone: (407) 202-9195
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INTERVENTION MASSAGE, LLC is a massage therapist in Orlando, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. INTERVENTION MASSAGE, LLC NPI is 1164002556. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

425 AVALON PARK SOUTH BLVD STE 600
ORLANDO, FL
ZIP 32828-702
Phone: (407) 202-9195

The provider's authorized official is Thomas George Buck .
The authorized official title is Managing Owner and has the following contact phone number (407) 202-9195.

The enumeration date for this NPI number is 4/10/2021 and was last updated on 4/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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