NPI 1194989186 · live from the CMS NPI Registry
20 West
Massage Therapist in Englewood, FL. National Provider Identifier 1194989186, active.
NPI record
| NPI | 1194989186 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 20 W Wentworth St, Englewood, FL 34223 |
| Practice phone | 941-475-0020 |
| Enumerated | July 18, 2008 |
| Last updated | July 18, 2008 |
| Authorized official | Claudia Davenport, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | mm21062 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.