Peace River Tcm LLC

NPI #1265323711 in Osprey, Florida

Provider Information

NPI Number: 1265323711
Entity Type: Organization
Organization Name: Peace River Tcm LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jul 14, 2025
Last Updated: Jul 14, 2025

Practice Location

Address: 230 BURNEY RD
City: Osprey
State: Florida
ZIP Code: 34229-9444
Phone: (941) 879-6041

Authorized Official

Name: MISS KRISTINA LEI GRAHAM, LMT
Title: OWNER/ DIRECTOR
Phone: (941) 879-6041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Acupuncturist	171100000X
Health & Wellness Coach	171400000X
Massage Therapist	225700000X	Primary

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