Organization
ACUPRESSURE MLD MASSAGE LLC
Active
Other names
ACUPRESSURE MLD MASSAGE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANSELMO IGNACIO REYES LMT (OWNER)
(727) 597-8479
Entity
Organization
Contact information
Practice address
11721 US HIGHWAY 19, #53, PORT RICHEY, FL 34668-1433
(727) 597-8479
(727) 597-8434
Mailing address
12502 GLENDALE CT, HUDSON, FL 34669-2741
(727) 597-8479
(727) 597-8434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA69614
FL
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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