Sole Sanctuary LLC

NPI #1659134484 in Lake Mary, Florida

Provider Information

NPI Number
1659134484
Entity Type
Organization
Organization Name
Sole Sanctuary LLC
Primary Specialty
Massage Therapist
Enumeration Date
Feb 5, 2024
Last Updated
Feb 5, 2024

Practice Location

Address
1061 S SUN DR STE 1025
State
Florida
ZIP Code
32746-6170
Phone
(321) 231-5762

Authorized Official

Name
SHELLY REEDY
Title
AUTHORIZED REPRESENTATIVE
Phone
(321) 363-1611

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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