Organization
MASSAGE BY MICAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICAH BALDWIN (OWNER)
(850) 449-5631
Entity
Organization
Contact information
Practice address
913 GULF BREEZE PKWY STE 36, GULF BREEZE, FL 32561-4729
(850) 449-5631
Mailing address
5909 ROBLE LOMA DR, PENSACOLA, FL 32526-2250
(850) 449-5631
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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