John Paul Burks, LMT

NPI #1164672259 in Mary Esther, Florida

Provider Information

NPI Number: 1164672259
Entity Type: Individual
Name: John Paul Burks, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 24, 2008
Last Updated: Sep 24, 2008

Practice Location

Address: 151 MARY ESTHER BLVD
Address 2: STE 307A
City: Mary Esther
State: Florida
ZIP Code: 32569-1972
Phone: (850) 200-7178

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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