MRS. Susan Marie Domfort, LMT,HMLDT,COTA

NPI #1003149709 in Ocala, Florida

Provider Information

NPI Number: 1003149709
Entity Type: Individual
Name: MRS. Susan Marie Domfort, LMT,HMLDT,COTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT,HMLDT,COTA
Enumeration Date: Sep 12, 2009
Last Updated: Sep 12, 2009

Practice Location

Address: 1328 SE 25TH LOOP
Address 2: SUITE 101
City: Ocala
State: Florida
ZIP Code: 34471-1026
Phone: (352) 804-7617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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