LAKEWOOD RANCH MEDICAL MASSAGE LLC NPI 1104356591

NPI Information

LAKEWOOD RANCH MEDICAL MASSAGE, LLC is a massage therapist in Bradenton, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. LAKEWOOD RANCH MEDICAL MASSAGE, LLC NPI is 1104356591. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Mad Science Massage.

The provider's business location address is:

9070 58TH DR E STE 102
BRADENTON, FL
ZIP 34202-110
Phone: (941) 321-5311
Fax: (941) 321-5311

The provider's authorized official is Elizabeth Nicole Pugh .
The authorized official title is Owner / Therapist and has the following contact phone number (941) 321-5311.

The enumeration date for this NPI number is 6/18/2017 and was last updated on 6/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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