| Spinal Connections Wellness Center LLC | |
|
415 Mountain Dr Destin FL 32541-7327 | |
| (951) 505-7600 | |
| Not Available |
| Full Name | Spinal Connections Wellness Center LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 415 Mountain Dr, Destin, Florida |
| Authorized Official Name and Position | Kleidy Botich (MASSAGE THERAPIST) |
| Authorized Official Contact | 9515057600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spinal Connections Wellness Center LLC 1118 Sandalwood Cir Niceville FL 32578-4213 Ph: (951) 505-7600 | Spinal Connections Wellness Center LLC 415 Mountain Dr Destin FL 32541-7327 Ph: (951) 505-7600 |
| NPI Number | 1295610020 |
|---|---|
| Provider Enumeration Date | 08/11/2025 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295610020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QP3300X | Clinic/center - Pain | (NU) | Secondary |
| 261QR0800X | Clinic/center - Recovery Care | (NU) | Secondary |
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