BEAUTIFULLY BOUNDLESS; NPI #1285583328

Contact Information

BEAUTIFULLY BOUNDLESS

1150 NE GOLDIE ST
OAK HARBOR, WA 98277-4827

Phone: 407-982-4876
Fax: 407-650-2754
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist/Technologist, Other	246Z00000X

Indicates primary specialty

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NPI Profile & details for BEAUTIFULLY BOUNDLESS

NPI Number	`1285583328`
LBN Legal business name	BEAUTIFULLY BOUNDLESS
Authorized official	KEALEY COREY - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/22/2026
Last updated	01/22/2026 - About 4 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BEAUTIFULLY BOUNDLESS

Contact Information

Specialty

Specialist/Technologist, Other

NPI Profile & details for BEAUTIFULLY BOUNDLESS

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