MR. James Rufus Coulliette JR., LMT

NPI #1922255660 in Leesburg, Florida

Provider Information

NPI Number: 1922255660
Entity Type: Individual
Name: MR. James Rufus Coulliette JR., LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 25, 2008
Last Updated: Aug 25, 2008

Practice Location

Address: 33306 PORTAL DR
City: Leesburg
State: Florida
ZIP Code: 34788-3171
Phone: (352) 253-2353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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