Organization
MINDY'S MASSAGE AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDY LYNN MILTON LMT (PRESIDENT/OWNER)
(904) 680-7328
Entity
Organization
Contact information
Practice address
319 W TOWN PL STE 22, ST AUGUSTINE, FL 32092-3103
(904) 680-7328
Mailing address
319 W TOWN PL STE 22, ST AUGUSTINE, FL 32092-3103
(904) 680-7328
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
Primary
—
—
225700000X
Massage Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/06/2022
Last updated
08/31/2022
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