Coastal Medical Massage Institute LLC

NPI #1043172893 in Milton, Florida

Provider Information

NPI Number: 1043172893
Entity Type: Organization
Organization Name: Coastal Medical Massage Institute LLC
Primary Specialty: Massage Therapist
Enumeration Date: Dec 1, 2025
Last Updated: Dec 1, 2025

Practice Location

Address: 5599 STEWART ST
City: Milton
State: Florida
ZIP Code: 32570-4344
Phone: (850) 530-8082

Authorized Official

Name: PAUL J PHELPS
Title: BUSINESS MANAGER
Phone: (850) 530-8082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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