Footprints On The Moon Massage And Bodywork, Llc

LBN: Footprints On The Moon Massage And Bodywork, Llc
Footprints On The Moon Massage And Bodywork, Llc is an health care organization with primary practice located at 1312 Illinois Ave Suite E, Saint Cloud FL 34769-4506. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as the primary health care specialty. Footprints On The Moon Massage And Bodywork, Llc can be contacted via phone (407) 436-2122, or through Fagnant, Samantha Jo via phone (407) 436-2122.

Contact Information

Primary practice address
1312 Illinois Ave Suite E Saint Cloud FL 34769-4506
Phone: (407) 436-2122
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fagnant, Samantha Jo LMT
Phone: (407) 436-2122

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MM32405 Florida

Profile Details

NPI number 1760898506
LBN Legal business name Footprints On The Moon Massage And Bodywork, Llc
DBA Doing business as
Authorized official Fagnant, Samantha Jo LMT
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2014
Last updated Jul 1st, 2014 - about 10 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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