Organization
HANDS ON HEALING MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT THOMAS LMT (PRESIDENT OWNER)
(386) 427-4743
Entity
Organization
Contact information
Practice address
812 W INDIAN RIVER BLVD, EDGEWATER, FL 32132-3429
(386) 427-4743
(386) 427-5245
Mailing address
PO BOX 534, NEW SMYRNA BEACH, FL 32170-0534
(386) 427-4743
(386) 427-5245
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA40685
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2872
BLUE CROSS BLUE SHIELD
FL
01
—
MA40685
STATE LICENSE
FL
Enumeration date
03/27/2007
Last updated
08/22/2020
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