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General NPI Number Information
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NPI Number | 1003770991
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Entity Type | Organization
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Legal Business Name | REJUVENATIONS ON THE GO
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 2787 E OAKLAND PARK BLVD STE 401
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1632
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Country | US
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Telephone | 954-305-4454
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Fax |
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Provider Business Mailing Address
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Address Line | 2787 E OAKLAND PARK BLVD STE 401 401
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1632
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Country | US
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Telephone | 954-305-4454
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | TREISA J HEIGHTS
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Credential | LMT
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Telephone | 954-657-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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