Organization
AYUR MASSAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIEKA ALICIA CAMPBELL LMP (OWNER/LMP)
(772) 408-9474
Entity
Organization
Contact information
Practice address
2221 S 25TH ST, FORT PIERCE, FL 34947-4796
(772) 408-9474
(772) 318-4820
Mailing address
2221 S 25TH ST, FORT PIERCE, FL 34947-4796
(772) 408-9474
(772) 318-4820
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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