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NPI 1205735743

NPI 1205735743 : MASSAGETOPIAFL : MIRAMAR BEACH, FL

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General NPI Number Information
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    NPI Number           |    1205735743
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    Entity Type          |    Organization 
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    Legal Business Name  |    MASSAGETOPIAFL 
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Dates
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    Enumeration Date     |    11/02/2026
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    Last Update Date     |    11/02/2026
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Provider Practice Location Address
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    Address Line         |    42 BUSINESS CENTRE DR UNIT 304 
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    City                 |    MIRAMAR BEACH
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    State                |    FL
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    Zip                  |    32550-6995
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    Country              |    US
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    Telephone            |    850-676-7808
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    151 CALHOUN AVE 
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    City                 |    DESTIN
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    State                |    FL
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    Zip                  |    32541-1590
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    Country              |    US
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    Telephone            |    850-676-7808
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MGR OWNER
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    Name                 |     GRAYCE  KERRI 
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    Credential           |    LMT
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    Telephone            |    412-626-2500
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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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