Absolute Medical Massage, LLC

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

MA#51649 Issued in FL

Legal business name

ABSOLUTE MEDICAL MASSAGE, LLC

Practice address

1220 Prospect Ave
Suite 202
Melbourne, FL 32901-7396

Phone

(321) 591-7672

NPI assigned

Mar 5, 2011

Last updated

Mar 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Etta L Walters, LMT

Title

Owner

Phone

(321) 591-7672

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299283200000",
    "number": "1780982389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 PROSPECT AVE",
            "address_2": "SUITE 202",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017396",
            "telephone_number": "321-591-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 PROSPECT AVE",
            "address_2": "SUITE 202",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017396",
            "telephone_number": "321-591-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE MEDICAL MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-05",
        "last_updated": "2011-03-05",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "ETTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-591-7672",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "FL",
            "license": "MA#51649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reflexologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Reflexologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.