Spa Northwest LLC

NPI #1093593782 in Bradenton, Florida

Provider Information

NPI Number
1093593782
Entity Type
Organization
Organization Name
Spa Northwest LLC
Primary Specialty
Massage Therapist
Enumeration Date
Sep 15, 2023
Last Updated
Sep 15, 2023

Practice Location

Address
5701 21ST AVE W
State
Florida
ZIP Code
34209-5605
Phone
(941) 713-1637

Authorized Official

Name
KELLY MARIE SKINNER, LMT
Title
OWNER
Phone
(941) 577-6560

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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