MEDICARE: THE CALMINGROUND 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	:	1922723519
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE CALMINGROUND LLC

Provider Business Mailing Address
First Line	:	192 SW NORTH WAKEFIELD CIR
Second Line	:	MOBILE SERVICE
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-5909
Country	:	US
Telephone Number	:	772-475-8677
Fax Number	:

Provider Business Practice Location Address
First Line	:	192 SW NORTH WAKEFIELD CIR
Second Line	:	MOBILE SERVICE
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-5909
Country	:	US
Telephone Number	:	772-475-8677
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	RHONDA C JONES
Credential	:	LMT
Telephone Number	:	772-475-8677

Provider Enumeration Date	:	10/06/2022
Last Update Date	:	10/06/2022

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