Lakewood Ranch Medical Massage, LLC

NPI #1104356591 in Bradenton, Florida

Provider Information

NPI Number: 1104356591
Entity Type: Organization
Organization Name: Lakewood Ranch Medical Massage, LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jun 18, 2017
Last Updated: Jun 18, 2017

Practice Location

Address: 9070 58TH DR E STE 102
City: Bradenton
State: Florida
ZIP Code: 34202-6110
Phone: (941) 321-5311

Authorized Official

Name: ELIZABETH NICOLE PUGH, LMT
Title: OWNER / THERAPIST
Phone: (941) 321-5311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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