John R. Ellis Massage, Inc. | |
12621 New Brittany Blvd, Suite 17w, Fort Myers, FL 33907-3631 | |
(239) 872-4641 | |
Not Available |
Full Name | John R. Ellis Massage, Inc. |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 12621 New Brittany Blvd, Fort Myers, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740433606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MA40808 (Florida) | Primary |
Mailing Address | Practice Location Address |
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John R. Ellis Massage, Inc. 1801 Brantley Rd, #801, Fort Myers, FL 33907-3994 Ph: (239) 872-4641 | John R. Ellis Massage, Inc. 12621 New Brittany Blvd, Suite 17w, Fort Myers, FL 33907-3631 Ph: (239) 872-4641 |
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