NPI 1972509123 · live from the CMS NPI Registry
Advantage Wellcare
Massage Therapist in Deltona, FL. National Provider Identifier 1972509123, active.
NPI record
| NPI | 1972509123 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 3244 Tealwood Ter, Deltona, FL 32725 |
| Practice phone | 386-846-1419 |
| Enumerated | June 22, 2005 |
| Last updated | June 16, 2008 |
| Authorized official | Andrea Kinney, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | MA42601 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.