SOLE SANCTUARY LLC NPI 1659134484

NPI Information

NPI: 1659134484
Provider Name: SOLE SANCTUARY LLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
1061 S SUN DR STE 1025
LAKE MARY, FL
ZIP 32746
Phone: (321) 231-5762
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SOLE SANCTUARY LLC is a massage therapist in Lake Mary, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. SOLE SANCTUARY LLC NPI is 1659134484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1061 S SUN DR STE 1025
LAKE MARY, FL
ZIP 32746-170
Phone: (321) 231-5762

The provider's authorized official is Shelly Reedy .
The authorized official title is Authorized Representative and has the following contact phone number (321) 363-1611.

The enumeration date for this NPI number is 2/5/2024 and was last updated on 2/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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