Healthcare Provider Details

I. General information

NPI: 1326990383
Provider Name (Legal Business Name): PSALM 23 THERAPY AND MASSAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3118 61ST ST W
LEHIGH ACRES FL
33971-1598
US

IV. Provider business mailing address

3118 61ST ST W
LEHIGH ACRES FL
33971-1598
US

V. Phone/Fax

Practice location:
  • Phone: 305-303-0708
  • Fax:
Mailing address:
  • Phone: 305-303-0708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: YUSIMIT VEGA MACHIN
Title or Position: MANAGING MEMBER
Credential: LMT, RMA, HHA
Phone: 305-303-0708