MR. Harold Earl Tullock, LMT

NPI #1720108905 in Shalimar, Florida

Provider Information

NPI Number: 1720108905
Entity Type: Individual
Name: MR. Harold Earl Tullock, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Mar 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 60 2ND ST
Address 2: STE. 203
City: Shalimar
State: Florida
ZIP Code: 32579-1769
Phone: (850) 651-2286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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