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PRO MASSAGE NPI 1356719116


NPI Information

NPI: 1356719116
Provider Name: PRO MASSAGE
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
621 MARKET ST
ST AUGUSTINE, FL
ZIP 32095
Phone: (904) 540-1198
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PRO MASSAGE is a massage therapist in St Augustine, 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. PRO MASSAGE NPI is 1356719116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

621 MARKET ST
ST AUGUSTINE, FL
ZIP 32095-892
Phone: (904) 540-1198

The provider's authorized official is Melba Faye Peludat .
The authorized official title is Owner and has the following contact phone number (904) 655-3670.

The enumeration date for this NPI number is 9/10/2015 and was last updated on 9/10/2015.


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 TherapistMM34066FLORIDAYes

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: 11/14/2023

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