Organization
CLERMONT MASSAGE LLC
Active
Other names
Pure Wellness Company
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN EVANS MT (OWNER)
(352) 577-0600
Entity
Organization
Contact information
Practice address
552 S HIGHWAY 27, STE B, MINNEOLA, FL 34715-2705
(352) 577-0600
Mailing address
552 S HIGHWAY 27, STE B, MINNEOLA, FL 34715-2705
(352) 577-0600
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3024
FL
173C00000X
Reflexologist
MA60330
FL
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
MA60330
FL
225700000X
Massage Therapist
MA60330
FL
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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