Organization
PALM BEACH MASSAGE THERAPY, INC
Active
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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