Organization Name: | 20 WEST |
NPI Number: | 1194989186 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLAUDIA ANNETTE DAVENPORT (OWNER) |
Mailing Address: | 20 W Wentworth St Englewood |
State: | FL US |
Postal Code: | 342232949 |
Phone Number: | 9414750020 |
Fax Number: | 9414759131 |
NPI Enumeration Date: | 07/18/2008 |
NPI Last Update Date: | 07/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MM21062 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |