Healthcare Provider Details

I. General information

NPI: 1184541690
Provider Name (Legal Business Name): IDEAL MASSAGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27317 CASHFORD CIR STE 101
WESLEY CHAPEL FL
33544-8101
US

IV. Provider business mailing address

27317 CASHFORD CIR STE 101
WESLEY CHAPEL FL
33544-8101
US

V. Phone/Fax

Practice location:
  • Phone: 813-609-0222
  • Fax:
Mailing address:
  • Phone: 813-609-0222
  • 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: MS. DAWN LANGLEY
Title or Position: LICENSED MASSAGE THERAPIST
Credential: MA37390
Phone: 813-609-0222