Organization
HOLISTIC LAKEWOOD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULETTE SIMONETTA LMT (OWNER)
(216) 904-2524
Entity
Organization
Contact information
Practice address
15217 MADISON AVE, LAKEWOOD, OH 44107-4018
(216) 904-2524
Mailing address
15217 MADISON AVE, LAKEWOOD, OH 44107-4018
(216) 904-2524
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33020185
OH
Other
Enumeration date
06/30/2017
Last updated
07/21/2022
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