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Organization
WELLNESS WISE, INC.
Active
Organization
WELLNESS WISE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA WISE HENKEL (PRESIDENT/OWNER)
(772) 812-9953
Entity
Organization
Contact information
Practice address
1001 W MIDWAY RD, FORT PIERCE, FL 34982-4142
(772) 812-9953
(772) 871-7842
Mailing address
6800 NW MONOCO CT, PORT ST LUCIE, FL 34983-5376
(772) 812-9953
(772) 871-7842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA37838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2393
BCBSFL
FL
Enumeration date
09/11/2008
Last updated
09/11/2008
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