Miss. Madison Basil
Miss. Madison Basil is a Massage Therapist in Lake Worth, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
1147 15th Ave N Unit BLake Worth, FL 33460-1845
Phone: (304) 704-8152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MA94922 (FL) |
|---|
Record details
| NPI number | 1538891304 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2022 |
| Last updated in NPPES | June 29, 2022 |
| Certification date | June 29, 2022 |
| Mailing address | 1147 15th Ave N Unit B, Lake Worth, FL 33460-1845 |
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