Deep Knead Medspa

Organization Active NPI Massage Therapist · Mayo, FL

NPI 1023358199 · NPPES record last updated May 3, 2013

Key facts

NPI
1023358199
Entity type
Organization (NPI type 2)
Primary specialty
Massage Therapist 225700000X
License
MA24270 (FL)
Legal business name
DEEP KNEAD MEDSPA
Practice address
117 NW Monroe Ave
Mayo, FL 32066
Phone
(352) 514-9887
Fax
(352) 372-3159
NPI assigned
Feb 26, 2013
Organization subpart
No

Authorized official

Name
Darcy Regina Morgan, L.M.T.
Title
Owner/Executive Director
Phone
(352) 514-9887

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225700000X MA24270 FL Yes

Addresses

Primary practice location

117 NW Monroe Ave
Mayo, FL 32066

Mailing address

4109 NW 44TH CT
Gainesville, FL 32606-4507
Phone (352) 514-9887

Other identifiers

IdentifierTypeStateIssuer
C8022OtherFLBCBSFL

Other providers in Mayo, FL

All providers in Mayo, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.