ADVANCED THERAPEUTICS & MASSAGE INC NPI 1649483785

NPI Information

NPI: 1649483785
Provider Name: ADVANCED THERAPEUTICS & MASSAGE INC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
CLIA Number: 10D2023656
Address: 13690 US HWY 441
STE 300
LADY LAKE, FL
ZIP 32159
Phone: (352) 750-0678

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NPI Details

ADVANCED THERAPEUTICS & MASSAGE INC is a massage therapist in Lady Lake, 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. ADVANCED THERAPEUTICS & MASSAGE INC NPI is 1649483785. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13690 US HWY 441
STE 300
LADY LAKE, FL
ZIP 32159
Phone: (352) 750-0678
Fax: (352) 750-0523

The provider's authorized official is Rosemarie Jacques .
The authorized official title is Treasurer and has the following contact phone number (352) 750-0678.

The CLIA number assigned to this NPI record is 10D2023656 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/22/2020.

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
1	225700000X	Massage Therapist				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C7261	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

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: 11/21/2025

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