MEDICARE: BUT WAIT THERES MORE, INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	173C00000X	Reflexologist
2	261QP2000X	Physical Therapy Clinic/Center
3	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1639320229
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUT WAIT THERES MORE, INC

Provider Business Mailing Address
First Line	:	429 BAY SHORE DR
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-5458
Country	:	US
Telephone Number	:	850-235-1809
Fax Number	:

Provider Business Practice Location Address
First Line	:	12115 PANAMA CITY BEACH PKWY
Second Line	:
City	:	PANAMA CITY BEACH
State	:	FL
Zip	:	32407-2609
Country	:	US
Telephone Number	:	850-236-5664
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NAN LUECK
Credential	:
Telephone Number	:	850-235-1809

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	10/01/2008

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Directions to “BUT WAIT THERES MORE, INC ” Practice Location

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