Healthcare Provider Details

I. General information

NPI: 1053131359
Provider Name (Legal Business Name): EXHALE SPINE & PELVIC WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2024
Last Update Date: 10/12/2024
Certification Date: 10/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8172 PIONEER RD
WEST PALM BEACH FL
33411-4618
US

IV. Provider business mailing address

8172 PIONEER RD
WEST PALM BEACH FL
33411-4618
US

V. Phone/Fax

Practice location:
  • Phone: 561-310-8835
  • Fax:
Mailing address:
  • Phone: 561-310-8835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIELENA MIQUEL
Title or Position: OWNER/PT
Credential:
Phone: 561-310-8835