MR. Michael William Willeford, MASSAGE THERAPIST LI
NPI #1467698373 in Orange City, Florida
Provider Information
- NPI Number
- 1467698373
- Entity Type
- Individual
- Name
- MR. Michael William Willeford, MASSAGE THERAPIST LI
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- MASSAGE THERAPIST LI
- Enumeration Date
- Dec 23, 2008
- Last Updated
- Dec 23, 2008
Practice Location
- Address
- 401 DOGWOOD AVE
- City
- Orange City
- State
- Florida
- ZIP Code
- 32763
- Phone
- (386) 774-9150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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