MEDICARE: ANATOMY ANGEL WELLNESS LLC

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	:	1538834155
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANATOMY ANGEL WELLNESS LLC

Provider Business Mailing Address
First Line	:	100 S DIXIE HWY STE 305
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5421
Country	:	US
Telephone Number	:	917-524-5845
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 S DIXIE HWY STE 305
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-5421
Country	:	US
Telephone Number	:	917-524-5845
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SIMONE LEE
Credential	:	LMT
Telephone Number	:	917-524-5845

Provider Enumeration Date	:	08/16/2021
Last Update Date	:	11/24/2025

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