QUIET WATERS WELLNESS CENTER LLC


Address: 9200 Bonita Beach Rd Se Ste 213, Bonita Springs, FL 34135-4279
Phone: (239) 246-6622

QUIET WATERS WELLNESS CENTER LLC (NPI# 1336656081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336656081
Entity Type Organization
Organization Name QUIET WATERS WELLNESS CENTER LLC
Practice Address 9200 Bonita Beach Rd Se Ste 213
Bonita Springs
FL 34135-4279
Practice Telephone (239) 246-6622
Mailing Telephone 2392466622
Enumeration Date 2018-01-03
Last Update Date 2018-01-03
Authorized Official Name LEE TASHA PEREZ (OWNER)
Authorized Official Telephone 2392466622
Authorized Official Credential DOM, AP, LMT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA32040 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 9200 BONITA BEACH RD SE STE 213
City BONITA SPRINGS
State FL
Zip Code 34135-4279

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1992257919 Lillian Mary Catherine Lienhardt Physician Assistant 27390 Tennesse Street, Bonita Springs, FL 34135 2016-10-25
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679180491 Douglas Demars Massage Therapist 24880 S Tamiami Trl, Bonita Springs, FL 34134-7015 2020-09-25
1538632062 Lisa Matulka Massage Therapist 3411 Bonita Beach Rd Ste 305, Bonita Springs, FL 34134-4155 2019-01-08
1396154761 Fang Wang Massage Therapist 4575 Key Largo Ln, Bonita Springs, FL 34134-7225 2014-08-10
1699042598 Angela Swan Massage Therapist 8840 Terrene Ct, Unit 101, Bonita Springs, FL 34135-9533 2011-11-20
1942582747 William Gambrell Massage Therapist 24850 Old Hwy 41 Rd, Suite 17, Bonita Springs, FL 34135 2011-09-16
1245512045 Zahilyn Cote Massage Therapist 24850 Old Hwy 41 Rd Suite 17, Bonita Springs, FL 34135 2011-09-16
1275815151 Cole Pelzer Massage Therapist 24850 Old Hwy 41 Rd., Suite 17, Bonita Springs, FL 34135 2011-09-15
1437447240 Mc Fitness LLC Massage Therapist 24850 Old 41 Rd, Suite 17, Bonita Springs, FL 34135-7021 2011-07-13
1356644777 Melanie Isabelle Rosabella Massage Therapist 24850 Old Highway 41 Road, Suite 17, Bonita Springs, FL 34135 2010-12-07
1659683076 Amy Marie Mcneal Massage Therapist 28811 S. Tamiami Trail Unit 13-14, Bonita Springs, FL 34134 2010-07-14
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Competitor

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City BONITA SPRINGS
Zip Code 34135

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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