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CLEANSING WATERS WELLNESS CENTER LLC NPI 1417326463


NPI Information

NPI: 1417326463
Provider Name: CLEANSING WATERS WELLNESS CENTER, LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
1300 JOHN R ST
SUITE B
MUSCLE SHOALS, AL
ZIP 35661
Phone: (256) 314-2328
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CLEANSING WATERS WELLNESS CENTER, LLC is a massage therapist in Muscle Shoals, AL. 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. CLEANSING WATERS WELLNESS CENTER, LLC NPI is 1417326463. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1300 JOHN R ST
SUITE B
MUSCLE SHOALS, AL
ZIP 35661-255
Phone: (256) 314-2328
Fax: (256) 314-2328

The provider's authorized official is Nathan A Reynolds .
The authorized official title is Owner/massage Therapist and has the following contact phone number (256) 314-2328.

The enumeration date for this NPI number is 9/21/2015 and was last updated on 9/21/2015.


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
1225500000XSpecialist/TechnologistTEXASNo
2225700000XMassage Therapist4315ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14315OTHERALABAMASTATE LICENSE

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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