MEDICARE: HEALING ARTS MASSAGE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	071065	FL

General Provider Information

NPI Number	:	1508009580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING ARTS MASSAGE CENTER

Provider Business Mailing Address
First Line	:	5801 ARGERIAN DR
Second Line	:	STE 101
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4140
Country	:	US
Telephone Number	:	813-907-2774
Fax Number	:	813-907-2723

Provider Business Practice Location Address
First Line	:	5801 ARGERIAN DR
Second Line	:	STE 101
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33545-4140
Country	:	US
Telephone Number	:	813-907-2774
Fax Number	:	813-907-2723

Authorized Official
Title or Position	:	THERAPIST
Name	:	MS. TERESA MCQUISTON
Credential	:	LMT
Telephone Number	:	813-907-2774

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	04/07/2009

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