Organization
ACUITY THERAPEUTIC MASSAGE & BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXI JESSLYN NICHOLS LMT, NCBTMB (OWNER/LMT)
(850) 570-0673
Entity
Organization
Contact information
Practice address
820 E PARK AVE BLDG A, SUITE 200, TALLAHASSEE, FL 32301-2610
(850) 570-0673
(850) 222-9355
Mailing address
820 E PARK AVE BLDG A, TALLAHASSEE, FL 32301-2610
(850) 570-0673
(850) 222-9355
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA57166
FL
174400000X
Specialist
Primary
MM25008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C104F
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
Enumeration date
10/22/2010
Last updated
10/22/2010
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