| NPI | 1760229066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN TIMOTHY STANLEY Practitioner Therapist 352-561-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |