Grand Oaks Massage INC

NPI #1649550815 in Lutz, Florida

Provider Information

NPI Number: 1649550815
Entity Type: Organization
Organization Name: Grand Oaks Massage INC
Primary Specialty: Massage Therapist
Enumeration Date: Aug 19, 2011
Last Updated: Aug 19, 2011

Practice Location

Address: 26314 WESLEY CHAPEL BLVD
City: Lutz
State: Florida
ZIP Code: 33559-7208
Phone: (813) 527-6987

Authorized Official

Name: MR. ROBERT G LAGRASSE JR.
Title: OWNER
Phone: (813) 495-0550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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