Organization
AXIS NATURAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAYDON SNOW AP, DOM (OWNER)
(239) 288-0900
Entity
Organization
Contact information
Practice address
7680 CAMBRIDGE MANOR PL, SUITE 100, FORT MYERS, FL 33907-3671
(239) 288-0900
(239) 985-9470
Mailing address
7680 CAMBRIDGE MANOR PL, SUITE 100, FORT MYERS, FL 33907-3671
(239) 288-0900
(239) 985-9470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH8741
FL
171100000X
Acupuncturist
Primary
AP2378
FL
171100000X
Acupuncturist
AP2869
FL
225700000X
Massage Therapist
MA46855
FL
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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