Organization
COASTAL MASSAGE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE WEINZATL MASSAGE THERAPIST (OWNER)
(303) 888-0680
Entity
Organization
Contact information
Practice address
411 WESTERN BLVD STE B, JACKSONVILLE, NC 28546-6822
(910) 581-2900
Mailing address
104 YUCCA CT, JACKSONVILLE, NC 28546
(303) 888-0680
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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