| Reveille Llc | |
|
717 S Cocoa Blvd Ste 202, Cocoa, FL 32922-7659 | |
| (321) 361-7949 | |
| Not Available |
| Full Name | Reveille Llc |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 717 S Cocoa Blvd Ste 202, Cocoa, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548842164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Reveille Llc 717 S Cocoa Blvd Ste 202, Cocoa, FL 32922-7659 Ph: (321) 361-7949 | Reveille Llc 717 S Cocoa Blvd Ste 202, Cocoa, FL 32922-7659 Ph: (321) 361-7949 |
Jane Elizabeth Holt, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Canebreakers Dr, Unit 209, Cocoa, FL 32927 Phone: 321-609-0212 | |
Ms. Marlene E. Weiss, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 N Cocoa Blvd, Suite 107, Cocoa, FL 32922 Phone: 321-631-1409 | |
Thomas Grasso, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4795 Fay Blvd Ste 10, Cocoa, FL 32927 Phone: 321-208-3909 | |
Mr. David Ryan Buford, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5011 Scott Rd, Cocoa, FL 32926 Phone: 321-698-9279 | |
Ms. Shana Rebecca Allmacher, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6175 Balboa St, Cocoa, FL 32927 Phone: 970-213-9109 | |
Celestina P Reyes Echenique, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 627 Brevard Ave, Cocoa, FL 32922 Phone: 321-474-8482 | |
Leslie G Ventura, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 717 S Cocoa Blvd Ste 202, Cocoa, FL 32922 Phone: 321-361-7949 |