Comprehensive Myofascial Therapy Associates, Pa

LBN: Comprehensive Myofascial Therapy Associates, Pa
Comprehensive Myofascial Therapy Associates, Pa is an health care organization with primary practice located at 14546 Old Saint Augustine Rd Suite 403, Jacksonville FL 32258-5468. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Comprehensive Myofascial Therapy Associates, Pa can be contacted via phone (904) 296-1500, or through Goossen, Shannon Page via phone (904) 296-1500.

Contact Information

Primary practice address
14546 Old Saint Augustine Rd Suite 403 Jacksonville FL 32258-5468
Phone: (904) 296-1500
Fax: (904) 391-1005
Website:
Map and Directions
Authorized official contact:
Name: Goossen, Shannon Page AP, LMT
Phone: (904) 296-1500

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AP1566 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 6380 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA 20767 Florida

Profile Details

NPI number 1174765903
LBN Legal business name Comprehensive Myofascial Therapy Associates, Pa
DBA Doing business as
Authorized official Goossen, Shannon Page AP, LMT
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2009
Last updated Mar 25th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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