Individual provider · Type 1 NPI

Susan Marie Domfort, LMT, HMLDT, COTA

Massage Therapist · Ocala, FL

NPI number 1003149709 Active

Practice location

1328 SE 25th Loop, Suite 101
Ocala, FL 34471-1026

Call (352) 804-7617 Map

Fax (352) 622-6100

Mailing address

663 SE 19th St
Ocala, FL 34471-5324

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA53889 (FL)

Massage Therapist: 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.

2 other providers at this address

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About NPI 1003149709

Susan Marie Domfort, LMT, HMLDT, COTA's National Provider Identifier is 1003149709, issued on Sep 12, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ocala, FL. The record was last updated on Sep 12, 2009.