Organization
PALM BEACH MASSAGE THERAPY, INC
Active
Other names
Back In Shape Massage Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE LYNN KONIDARE (PRESIDENT)
(561) 844-6777
Entity
Organization
Contact information
Practice address
13860 WELLINGTON TRCE, SUITE #13, WELLINGTON, FL 33414-8588
(561) 844-6777
(561) 841-1618
Mailing address
653 FAIRWIND DR, NORTH PALM BEACH, FL 33408-4302
(561) 844-6777
(561) 841-1618
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
HCC7029
FL
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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