MR. Craig F Wathen JR., LMT

NPI #1013252873 in Tampa, Florida

Provider Information

NPI Number: 1013252873
Entity Type: Individual
Name: MR. Craig F Wathen JR., LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 5, 2012
Last Updated: Dec 5, 2012

Practice Location

Address: 4728 E 98TH AVE
City: Tampa
State: Florida
ZIP Code: 33617-4512
Phone: (813) 454-2808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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