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NPI 1225932767

NPI 1225932767 : ANIMA WELLNESS LLC : YONA, GU

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General NPI Number Information
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    NPI Number           |    1225932767
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    Entity Type          |    Organization 
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    Legal Business Name  |    ANIMA WELLNESS LLC 
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Dates
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    Enumeration Date     |    10/07/2026
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    Last Update Date     |    10/07/2026
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Provider Practice Location Address
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    Address Line         |    118 VICENTE SOUTH BAZA STREET 
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    City                 |    YONA
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    State                |    GU
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    Zip                  |    96915
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    Country              |    US
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    Telephone            |    671-789-0627
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    117 SABANA LN 
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    City                 |    YONA
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    State                |    GU
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    Zip                  |    96915-4917
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    Country              |    US
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    Telephone            |    671-687-8079
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/ MASSAGE THERAPIST
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    Name                 |     THERESA  RIVERA 
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    Credential           |    
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    Telephone            |    671-687-8079
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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 |    NULL
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Taxonomy #2
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    NULL
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