Provider Demographics
NPI:1245796606
Name:NAVARRE HEALING ARTS, LLC
Entity Type:Organization
Organization Name:NAVARRE HEALING ARTS, LLC
Other - Org Name:NAVARRE HEALING ARTS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KE-A
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:850-936-5300
Mailing Address - Street 1:7552 NAVARRE PKWY UNIT 44
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-7309
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7552 NAVARRE PKWY UNIT 44
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-7309
Practice Address - Country:US
Practice Address - Phone:850-803-7994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty