MR. Chad Lewis Wainwright, L.M.T.

NPI #1396063202 in Live Oak, Florida

Provider Information

NPI Number: 1396063202
Entity Type: Individual
Name: MR. Chad Lewis Wainwright, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: May 17, 2010
Last Updated: May 17, 2010

Practice Location

Address: 7235 193RD RD
City: Live Oak
State: Florida
ZIP Code: 32060-7857
Phone: (386) 688-3657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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