Organization
NOVA VITA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIQUELA ROLLF-SIMMONS LMT (CLINIC DIRECTOR)
(205) 394-9690
Entity
Organization
Contact information
Practice address
303 HARGROVE RD E, TUSCALOOSA, AL 35401-5029
(205) 415-2463
Mailing address
303 HARGROVE RD E, TUSCALOOSA, AL 35401-5029
(205) 415-2463
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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