MEDICARE: WHOLE MOTION 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
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1457219354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE MOTION INC

Provider Business Mailing Address
First Line	:	500 N WASHINGTON AVE STE 108
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32796-2759
Country	:	US
Telephone Number	:	321-966-8466
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N WASHINGTON AVE STE 108
Second Line	:
City	:	TITUSVILLE
State	:	FL
Zip	:	32796-2759
Country	:	US
Telephone Number	:	321-966-8466
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHAELYN LEDOUX
Credential	:
Telephone Number	:	321-966-8466

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “WHOLE MOTION INC ” Practice Location

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