# MINDY'S MASSAGE AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1457092090
- **Authorized official:** MINDY LYNN MILTON LMT (PRESIDENT/OWNER)
- **Authorized official phone:** (904) 680-7328

## Contact information

- **Practice address:** 319 W TOWN PL STE 22, ST AUGUSTINE, FL 32092-3103
- **Practice address phone:** (904) 680-7328
- **Mailing address:** 319 W TOWN PL STE 22, ST AUGUSTINE, FL 32092-3103
- **Mailing address phone:** (904) 680-7328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | — | Yes |
| 225700000X | Massage Therapist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 04/06/2022
- **Last updated:** 08/31/2022