Organization
INNER COURT HOLISTIC DAY SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACI D. WILLIAMS LMT (LICENSED MASSAGE THERAPIST)
(904) 444-7286
Entity
Organization
Contact information
Practice address
9951 ATLANTIC BLVD, SUITE 314, JACKSONVILLE, FL 32225-6584
(904) 444-7286
Mailing address
PO BOX 28686, JACKSONVILLE, FL 32226-8686
(904) 885-7344
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA69978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002087688
DUN
FL
Enumeration date
08/11/2015
Last updated
08/11/2015
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