# AXIS NATURAL MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326311770
- **Authorized official:** GRAYDON SNOW AP, DOM (OWNER)
- **Authorized official phone:** (239) 288-0900

## Contact information

- **Practice address:** 7680 CAMBRIDGE MANOR PL, SUITE 100, FORT MYERS, FL 33907-3671
- **Practice address phone:** (239) 288-0900
- **Practice address fax:** (239) 985-9470
- **Mailing address:** 7680 CAMBRIDGE MANOR PL, SUITE 100, FORT MYERS, FL 33907-3671
- **Mailing address phone:** (239) 288-0900
- **Mailing address fax:** (239) 985-9470

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CH8741 | FL | — |
| 171100000X | Acupuncturist | AP2378 | FL | Yes |
| 171100000X | Acupuncturist | AP2869 | FL | — |
| 225700000X | Massage Therapist | MA46855 | FL | — |

## Other

- **Enumeration date:** 02/15/2012
- **Last updated:** 02/15/2012