Deep Knead Medspa

NPI #1023358199 in Mayo, Florida

Provider Information

NPI Number: 1023358199
Entity Type: Organization
Organization Name: Deep Knead Medspa
Primary Specialty: Massage Therapist
Enumeration Date: Feb 26, 2013
Last Updated: May 3, 2013

Practice Location

Address: 117 NW MONROE AVE
City: Mayo
State: Florida
ZIP Code: 32066
Phone: (352) 514-9887

Authorized Official

Name: DARCY REGINA MORGAN, L.M.T.
Title: OWNER/EXECUTIVE DIRECTOR
Phone: (352) 514-9887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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