NPI 1124636212 · live from the CMS NPI Registry
Ag Massage & Bodywork LLC
Massage Therapist in Maitland, FL. National Provider Identifier 1124636212, active.
NPI record
| NPI | 1124636212 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1985 Howell Branch Rd, Maitland, FL 32751 |
| Practice phone | 407-720-8511 |
| Mailing address | 1317 Edgewater Dr Ste 1853, Orlando, FL 32804 |
| Enumerated | July 15, 2020 |
| Last updated | July 15, 2020 |
| Authorized official | Andrea Gonsalves, Owenr |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.