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INNER COURT HOLISTIC DAY SPA NPI 1679949820


NPI Information

NPI: 1679949820
Provider Name: INNER COURT HOLISTIC DAY SPA
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
9951 ATLANTIC BLVD
SUITE 314
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 444-7286
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INNER COURT HOLISTIC DAY SPA is a massage therapist in Jacksonville, 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. INNER COURT HOLISTIC DAY SPA NPI is 1679949820. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9951 ATLANTIC BLVD
SUITE 314
JACKSONVILLE, FL
ZIP 32225-584
Phone: (904) 444-7286

The provider's authorized official is Traci D. Williams .
The authorized official title is Licensed Massage Therapist and has the following contact phone number (904) 444-7286.

The enumeration date for this NPI number is 8/11/2015 and was last updated on 8/11/2015.


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 TherapistMA69978FLORIDAYes

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
1002087688OTHERFLORIDADUN

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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