Healthcare Provider Details

I. General information

NPI: 1205774890
Provider Name (Legal Business Name): RESONATE HEALING THERAPIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 S MAIN ST
CHIEFLAND FL
32626-0514
US

IV. Provider business mailing address

1088 NE 188TH AVE
OLD TOWN FL
32680-3775
US

V. Phone/Fax

Practice location:
  • Phone: 239-245-3693
  • Fax:
Mailing address:
  • Phone: 239-245-3693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: SCARLETT BRITTON
Title or Position: MANAGER
Credential: LMT
Phone: 239-245-3693