Organization
PALM SPRINGS MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN M VENEGAS LMT (OWNER)
(561) 968-4468
Entity
Organization
Contact information
Practice address
3175 S CONGRESS AVE STE 105, PALM SPRINGS, FL 33461-2562
(561) 968-4468
Mailing address
3175 S CONGRESS AVE STE 105, PALM SPRINGS, FL 33461-2562
(561) 968-4468
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
MA55478
FL
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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