# MYOTHERAPY-MASSAGE GROUP OF PALM BEACH, INC.

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

## Provider details

- **NPI number:** 1487789673
- **Authorized official:** MR. JOHN CHARLES PAPENDICK SR. CTPM, LMT (PRESIDENT)
- **Authorized official phone:** (561) 630-0410

## Contact information

- **Practice address:** 8295 NORTH MILITARY TRAIL, SUITE D, PALM BCH GRDNS, FL 33410
- **Practice address phone:** (561) 630-0410
- **Practice address fax:** (561) 630-0699
- **Mailing address:** 8295 N MILITARY TRL, SUITE D, WEST PALM BEACH, FL 33410-6312
- **Mailing address phone:** (561) 630-0410
- **Mailing address fax:** (561) 630-0699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MA0008727 | FL | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020