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NPI Code Detail

MEDICARE: ACADEMY OF HEALING ARTS, INC

MEDICARE: ACADEMY OF HEALING ARTS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMA8395FL

General Provider Information

NPI Number : 1093859555
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACADEMY OF HEALING ARTS, INC
Provider Business Mailing Address
First Line : 1408 19TH ST
Second Line : SUITE D
City : VERO BEACH
State : FL
Zip : 32960-3527
Country : US
Telephone Number : 772-562-8905
Fax Number : 772-562-7071
Provider Business Practice Location Address
First Line : 1408 19TH ST
Second Line : SUITE D
City : VERO BEACH
State : FL
Zip : 32960-3527
Country : US
Telephone Number : 772-562-8905
Fax Number : 772-562-7071
Authorized Official
Title or Position : OWNER
Name : SHARON WARREN
Credential : LMT
Telephone Number : 772-562-8905
Provider Enumeration Date : 02/17/2007
Last Update Date : 02/13/2010

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Directions to “ACADEMY OF HEALING ARTS, INC ” Practice Location

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