| Professional Massage Therapy | |
|
212 W Main St, Wauchula, FL 33873-2822 | |
| (863) 773-0022 | |
| Not Available |
| Full Name | Professional Massage Therapy |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 212 W Main St, Wauchula, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023419819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MM21412 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Massage Therapy 212 W Main St, Wauchula, FL 33873-2822 Ph: (863) 773-0022 | Professional Massage Therapy 212 W Main St, Wauchula, FL 33873-2822 Ph: (863) 773-0022 |
Ms. Lucy Jayne Matos, L.M.T Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 1380 Painter Rd, Wauchula, FL 33873 Phone: 863-245-6837 | |
Lorena Stoddard, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 W Main St, Wauchula, FL 33873 Phone: 941-779-6168 | |
Gloria Jean Shackelford, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 W Orange St, Wauchula, FL 33873 Phone: 863-773-5646 | |
Yvonne Dupree Abbott, MASSAGE THERAPIST Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 315 S Florida Ave, Wauchula, FL 33873 Phone: 863-773-4364 |