Organization
COASTAL MEDICAL MASSAGE INSTITUTE LLC
Active
Other names
Coastal Medical Massage
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J PHELPS (BUSINESS MANAGER)
(850) 530-8082
Entity
Organization
Contact information
Practice address
5599 STEWART ST, MILTON, FL 32570-4344
(850) 530-8082
(448) 216-2818
Mailing address
3702 ROCKWOOD DR, PACE, FL 32571-1867
(850) 530-8082
(448) 216-2818
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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