Organization
ABSOLUTE MEDICAL MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETTA L WALTERS LMT (OWNER)
(321) 591-7672
Entity
Organization
Contact information
Practice address
1220 PROSPECT AVE, SUITE 202, MELBOURNE, FL 32901-7396
(321) 591-7672
Mailing address
1220 PROSPECT AVE, SUITE 202, MELBOURNE, FL 32901-7396
(321) 591-7672
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
MA#51649
FL
Other
Enumeration date
03/05/2011
Last updated
03/05/2011
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