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Organization
WAVES OF WELLNESS MEDICAL MASSAGE LLC
Active
Organization
WAVES OF WELLNESS MEDICAL MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MACHATA LMT (MEMBER OF THE LLC/ CO OWNER)
(772) 539-6316
Entity
Organization
Contact information
Practice address
1603 10TH AVE, VERO BEACH, FL 32960-6231
(772) 539-6316
Mailing address
583 28TH AVE SW, VERO BEACH, FL 32968-3202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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