Organization
SPINAL CONNECTIONS WELLNESS CENTER LLC
Active
Other names
Spinal Connections Wellness Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KLEIDY BOTICH (MASSAGE THERAPIST)
(951) 505-7600
Entity
Organization
Contact information
Practice address
415 MOUNTAIN DR, DESTIN, FL 32541-7327
(951) 505-7600
Mailing address
1118 SANDALWOOD CIR, NICEVILLE, FL 32578-4213
(951) 505-7600
(951) 505-7600
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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