| |
8511 Nw 186th St, Reddick, FL 32686-2216 | |
(352) 817-5289 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 8511 Nw 186th St, Reddick, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275755563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | AP1718 (Florida) | Primary |
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8511 Nw 186th St, Reddick, FL 32686-2216 Ph: (352) 817-5289 | 8511 Nw 186th St, Reddick, FL 32686-2216 Ph: (352) 817-5289 |