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General NPI Number Information
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NPI Number | 1336026442
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Entity Type | Organization
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Legal Business Name | CREATIVE WELLNESS COLLECTIVE, LLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 10547 MONTGOMERY RD STE 500
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City | MONTGOMERY
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State | OH
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Zip | 45242-4462
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Country | US
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Telephone | 513-496-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 4623 MILLER RD
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City | BLUE ASH
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State | OH
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Zip | 45242-6115
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Country | US
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Telephone | 513-253-7297
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Fax |
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Authorized Official
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Title or Position | MASSAGE THERAPIST, OWNER
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Name | ABIGAIL CHAVEZ
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Credential | LMT
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Telephone | 513-496-3939
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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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