Organization
VITALITY GROUP OF WNY
Active
Other names
Massage Envy Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED GRANT MORSE III (PRESIDENT)
(239) 269-3279
Entity
Organization
Contact information
Practice address
3670 MCKINLEY PKWY, MASSAGE ENVY, BLASDELL, NY 14219-2696
(716) 822-3689
Mailing address
2338 IMMOKALEE RD, #105, NAPLES, FL 34110-1445
(239) 269-3279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21MA1407640
NY
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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