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SO SERENE MASSAGE DAY SPA NPI 1417661018


NPI Information

NPI: 1417661018
Provider Name: SO SERENE MASSAGE DAY SPA
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
58 N CHARLES RICHARD BEALL BLVD STE I
DEBARY, FL
ZIP 32713
Phone: (352) 514-9494
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SO SERENE MASSAGE DAY SPA is a massage therapist in Debary, 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. SO SERENE MASSAGE DAY SPA NPI is 1417661018. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

58 N CHARLES RICHARD BEALL BLVD STE I
DEBARY, FL
ZIP 32713-212
Phone: (352) 514-9494

The provider's authorized official is Aivia V Jones .
The authorized official title is Owner and has the following contact phone number (352) 514-9494.

The enumeration date for this NPI number is 1/9/2023 and was last updated on 1/9/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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