Organization
ELITEORTHO BODYWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA GRACE ROLOFF LMT (OWNER)
(817) 458-6719
Entity
Organization
Contact information
Practice address
328 W MAIN ST STE 7B, AZLE, TX 76020-2900
(682) 209-4176
Mailing address
328 W MAIN ST STE 7B, AZLE, TX 76020-2900
(817) 458-6719
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/11/2025
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