Avalon Massage & Body Works Inc.
Organization Active NPI Massage Therapist · Debary, FL
NPI 1780980722 · NPPES record last updated May 5, 2011
Key facts
- NPI
- 1780980722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Massage Therapist 225700000X
- License
- MM25438 (FL)
- Legal business name
- AVALON MASSAGE & BODY WORKS INC.
- Practice address
- 430 Summerhaven Dr
300
Debary, FL 32713-2755 - Phone
- (386) 848-0548
- NPI assigned
- Feb 9, 2011
- Organization subpart
- No
Authorized official
- Name
- Teresa Miller
- Title
- Owner/Therapist
- Phone
- (386) 848-0548
Practitioners 1
-
Teresa Miller, LMT
National Provider Directory
Locations
430 Summerhaven Dr
Ste 300
Debary, FL 32713
Phone (386) 848-0548
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | MM25438 | FL | Yes |
Addresses
Primary practice location
430 Summerhaven Dr
300
Debary, FL 32713-2755
Mailing address
430 Summerhaven Dr
300
Debary, FL 32713-2755
Phone (386) 848-0548
Other providers in Debary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.