Elite Wellness Waco LLC

NPI #1518763499 in Hewitt, Texas

Provider Information

NPI Number: 1518763499
Entity Type: Organization
Organization Name: Elite Wellness Waco LLC
Primary Specialty: Massage Therapist
Enumeration Date: Feb 21, 2025
Last Updated: Feb 21, 2025

Practice Location

Address: 1217 S HEWITT DR
City: Hewitt
State: Texas
ZIP Code: 76643-3200
Phone: (254) 723-2400

Authorized Official

Name: MARQUIS MANGRUM, LMT
Title: FOUNDER
Phone: (254) 723-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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