Organization
HOLISTIC MASSAGE AND BODYWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL JOSHUA AVERY (MEMBER MANAGER)
(725) 248-0251
Entity
Organization
Contact information
Practice address
2291 S FORT APACHE RD STE 106, LAS VEGAS, NV 89117-5895
(702) 776-7766
Mailing address
4262 BLUE DIAMOND RD STE 102-389, LAS VEGAS, NV 89139-7789
(725) 248-0251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
03/22/2024
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