MR. Stephen Randall Goodman, MASSAGE THERAPIST

NPI #1750518007 in Venice, Florida

Provider Information

NPI Number
1750518007
Entity Type
Individual
Name
MR. Stephen Randall Goodman, MASSAGE THERAPIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
MASSAGE THERAPIST
Enumeration Date
Jun 14, 2009
Last Updated
Jun 14, 2009

Practice Location

Address
328 TAMIAMI TRL S STE A
City
Venice
State
Florida
ZIP Code
34285-2434
Phone
(941) 485-5797

Specialties & Taxonomy Codes

Specialty
Specialist

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