Soulstice Spa Llc is a
Clinic/center - Physical Therapy based in Santa Rosa, California. Soulstice Spa Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2462 W 3rd St, Santa Rosa, California. It can be reached at their office (for appointments etc.) via phone at
(707) 843-3539.
NPI number for Soulstice Spa Llc is 1285242271 and their current mailing address is 512a Johnson St, Sausalito, California. Soulstice Spa Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1285242271.
Healthcare Provider's Profile
| Full Name | Soulstice Spa Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 2462 W 3rd St, Santa Rosa, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285242271
- Provider Enumeration Date: 07/16/2020
- Last Update Date: 07/16/2020
Medical Identifiers
Medical identifiers for Soulstice Spa Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285242271 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Soulstice Spa Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Soulstice Spa Llc
512a Johnson St,
Sausalito, CA 94965-2123
Ph: (415) 847-1644 | Soulstice Spa Llc
2462 W 3rd St,
Santa Rosa, CA 95401-6425
Ph: (707) 843-3539 |
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