Organization Name: | HOLISTIC MASSAGE & WELLNESS CLINICS |
NPI Number: | 1578694915 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON TATLEMAN (GENERAL MANAGER) |
Mailing Address: | 903 East Cypress Creek Rd Fort Lauderdale |
State: | FL US |
Postal Code: | 33334 |
Phone Number: | 9544912225 |
Fax Number: | 9544916862 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA10480 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |