Back to Eden

Massage Therapist · Stuart, FL

Organization Active NPI

NPI number 1790085561

Practice location

209 SW Federal Hwy
Stuart, FL 34994-2003
Phone
(772) 600-5815
Fax
(772) 600-8012

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NPI record

NPI
1790085561
Entity type
Organization (Type 2)
Enumeration date
October 27, 2010
Last updated
March 27, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X MM27262 FL
Naturopath 175F00000X — —

Mailing address

209 SW Federal Hwy
Stuart, FL 34994-1005
Phone
(772) 600-5815
Fax
(772) 600-8012

Authorized official

Name
Lynnette R Blake, CNHP,ND
Title
Owner
Phone
(772) 600-5815

Other names

  • Back to Eden Wellness Center

About Back to Eden

Back to Eden is a healthcare organization registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 209 SW Federal Hwy, Stuart, FL 34994-2003. The NPI number 1790085561 was assigned on October 27, 2010 and the record was last updated on March 27, 2012.

Back to Eden lists a license in the registry: #MM27262 (FL) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Lynnette R Blake, CNHP,ND, Owner.

Frequently asked questions

What is the NPI number of Back to Eden?

The NPI number is 1790085561.

What is the phone number of Back to Eden?

The phone number listed for the practice location is (772) 600-5815.

Where is Back to Eden located?

209 SW Federal Hwy, Stuart, FL 34994-2003.

What is the taxonomy code for Back to Eden?

The primary taxonomy code is 225700000X – Massage Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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