MR. John Charles Riley, L.M.T.

NPI #1881863892 in Lake Mary, Florida

Provider Information

NPI Number
1881863892
Entity Type
Individual
Name
MR. John Charles Riley, L.M.T.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
L.M.T.
Enumeration Date
Feb 23, 2008
Last Updated
Feb 23, 2008

Practice Location

Address
187 E CRYSTAL LAKE AVE
Address 2
SUITE 2005
State
Florida
ZIP Code
32746-3207
Phone
(407) 496-0990

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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