MEDICARE: NATURAL THERAPY & SPA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111NR0400X	Rehabilitation Chiropractor
2	171100000X	Acupuncturist
3	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1932664307
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATURAL THERAPY & SPA

Provider Business Mailing Address
First Line	:	7224 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6743
Country	:	US
Telephone Number	:	407-440-4051
Fax Number	:	407-704-5981

Provider Business Practice Location Address
First Line	:	7224 W COLONIAL DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32818-6743
Country	:	US
Telephone Number	:	407-440-4051
Fax Number	:	407-704-5981

Authorized Official
Title or Position	:	MGR
Name	:	JONISE M LEONARD
Credential	:
Telephone Number	:	407-782-0489

Provider Enumeration Date	:	02/09/2019
Last Update Date	:	02/09/2019

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Directions to “NATURAL THERAPY & SPA ” Practice Location

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