Provider Demographics
NPI:1558943217
Name:EQUESTRIAN THERAPIES OF THE PALM BEACHES INC
Entity Type:Organization
Organization Name:EQUESTRIAN THERAPIES OF THE PALM BEACHES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-487-5793
Mailing Address - Street 1:13164 SILVER FOX LN
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33418-7939
Mailing Address - Country:US
Mailing Address - Phone:786-487-5793
Mailing Address - Fax:
Practice Address - Street 1:13164 SILVER FOX LN
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33418-7939
Practice Address - Country:US
Practice Address - Phone:786-487-5793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center