Malecki, Andrea L

Malecki, Andrea L is an sole proprietor health care provider with primary practice located at 3404 S Atlantic Ave , New Smyrna Beach FL 32169-3626. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Malecki, Andrea L can be contacted via phone (386) 405-4820.

Contact Information

Primary practice address
3404 S Atlantic Ave New Smyrna Beach FL 32169-3626
Phone: (386) 405-4820
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA58870 Florida

Profile Details

NPI number 1881999159
LBN Legal business name Malecki, Andrea L
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2011
Last updated Jan 18th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881999159 NPPES
Florida Other MA58870 MASSAGE LICENSE # MA58870

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