Genesis Bodywork Llc

NPI 1457485344 - Clinic/Center - 261QP2000X

NPI Details
NPI 1457485344
Enumeration Date 03/15/2007
Last Updated 02/02/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TAMMY LOUISE TAMMY
Position OWNER
Phone (904) 471-2999
Fax (904) 471-1722
Practice Location
4075 A1A S
SUITE 105
ST AUGUSTINE FL, 32080-6773, US
Phone (904) 471-2999
Fax (904) 471-1722
Business Location
4075 A1A S
SUITE 105
ST AUGUSTINE FL, 32080-6773, US
Phone (904) 471-2999
Fax (904) 471-1722
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
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According to our database, Genesis Bodywork Llc NPI is 1457485344, taxonomy code is 261QP2000X Genesis Bodywork Llc physically located at 4075 A1a S, St Augustine FL, 32080-6773. NPI Number 1033115704 has the healthcare provider type.

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1457485344 NPI number is provided on an as is basis without warranty of any kind. 1457485344 is maintained by the National Plan & Provider Enumeration System. The contents of Genesis Bodywork Llc are for informational purposes only.