Healthcare Provider Details

I. General information

NPI: 1215872684
Provider Name (Legal Business Name): MASSAGE PERFECT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 CROSS ST UNIT 1108
PUNTA GORDA FL
33950-5551
US

IV. Provider business mailing address

615 CROSS ST UNIT 1108
PUNTA GORDA FL
33950-5551
US

V. Phone/Fax

Practice location:
  • Phone: 941-655-8513
  • Fax:
Mailing address:
  • Phone: 941-655-8513
  • 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: XI LIANG
Title or Position: OWNER/EMPLOYEE
Credential:
Phone: 352-327-5959