Organization
BODY LANGUAGE BY THERESA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA EPHRAIM MM46024 (OWNER)
(772) 867-0544
Entity
Organization
Contact information
Practice address
1763 NW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-2501
(772) 867-0544
Mailing address
1763 NW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-2501
(772) 867-0544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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