Healthcare Provider Details

I. General information

NPI: 1639320229
Provider Name (Legal Business Name): BUT WAIT THERES MORE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2008
Last Update Date: 10/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12115 PANAMA CITY BEACH PKWY
PANAMA CITY BEACH FL
32407-2609
US

IV. Provider business mailing address

429 BAY SHORE DR
PANAMA CITY BEACH FL
32407-5458
US

V. Phone/Fax

Practice location:
  • Phone: 850-236-5664
  • Fax:
Mailing address:
  • Phone: 850-235-1809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: NAN LUECK
Title or Position: OWNER
Credential:
Phone: 850-235-1809