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Practitioner Enquiry

If you are a practitioner or service provider and would like to offer your services through MYSA Wellness please complete your details below. Thank you.

Name *

First Name

Last Name

Location *

Email *

Phone *

(###)

###

####

Are you insured? *

What are your qualifications *

Tell Us About Yourself *

Which of the following services are you experienced and qualified in? *

Chair Massage

Sports Massage

Holistic Massage

Reiki

Reflexology

Acupuncture

Indian Head Massage

Physiotherapy

Yoga

Meditation

Pilates

Mental Health

Nutrition

Thank you! We will respond to you as soon as possible.

083 0333 922
info@mysa.ie

Windmill lodge, Windmill Road, Dublin 12

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