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General NPI Number Information
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NPI Number | 1417819954
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Entity Type | Organization
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Legal Business Name | AT PEACE MIND N BODY LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | G5183 FENTON RD
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City | FLINT
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State | MI
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Zip | 48507-4042
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Country | US
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Telephone | 810-584-5322
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Fax |
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Provider Business Mailing Address
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Address Line | 2062 DELANEY ST
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City | BURTON
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State | MI
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Zip | 48509-1023
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Country | US
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Telephone |
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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 | ALYSSA A MARTINEZ
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Credential | LMT, CHC
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Telephone | 810-584-5322
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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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