Healthcare Provider Details

I. General information

NPI: 1720201791
Provider Name (Legal Business Name): ALLPOINTS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 02/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5618 NW 43RD ST SUITE B
GAINESVILLE FL
32653-3406
US

IV. Provider business mailing address

5618 NW 43RD ST SUITE B
GAINESVILLE FL
32653-3406
US

V. Phone/Fax

Practice location:
  • Phone: 352-339-3363
  • Fax: 352-371-3623
Mailing address:
  • Phone: 352-339-3363
  • Fax: 352-371-3623

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAP665
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA8292
License Number StateFL

VIII. Authorized Official

Name: DEETA WIDMER ADKINS
Title or Position: PRESIDENT
Credential: AP, LMT
Phone: 352-339-3363