MEDICARE: HEALING TOUCH REHABILITATION INC.

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1649592171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING TOUCH REHABILITATION INC.

Provider Business Mailing Address
First Line	:	7800 SW 57TH AVE STE 201B
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5537
Country	:	US
Telephone Number	:	305-661-1612
Fax Number	:	305-661-1613

Provider Business Practice Location Address
First Line	:	7800 SW 57TH AVE STE 201B
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5537
Country	:	US
Telephone Number	:	305-661-1612
Fax Number	:	305-661-1613

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHELE GUST
Credential	:	P.T.
Telephone Number	:	305-661-1612

Provider Enumeration Date	:	02/25/2010
Last Update Date	:	02/25/2010

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