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WYATT DEMARCO MASSAGE THERAPY & WELLNESS CENTER NPI 1649743352


NPI Information

NPI: 1649743352
Provider Name: WYATT DEMARCO MASSAGE THERAPY & WELLNESS CENTER
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
690 AVON BELDEN RD
2C
AVON LAKE, OH
ZIP 44012
Phone: (440) 225-4555
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WYATT DEMARCO MASSAGE THERAPY & WELLNESS CENTER is a massage therapist in Avon Lake, OH. 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. WYATT DEMARCO MASSAGE THERAPY & WELLNESS CENTER NPI is 1649743352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

690 AVON BELDEN RD
2C
AVON LAKE, OH
ZIP 44012
Phone: (440) 225-4555

The provider's authorized official is Jessica R Wyatt .
The authorized official title is Owner and has the following contact phone number (440) 225-4555.

The enumeration date for this NPI number is 1/4/2019 and was last updated on 1/4/2019.


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: 11/14/2023

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