Individual provider · Type 1 NPI
John William Davidson, LMT
Massage Therapist · Orlando, FL
NPI number
1063617892
Active
Practice location
2010 Edgewater Dr
Orlando, FL 32804-5312
Mailing address
PO Box 151254
Altamonte Springs, FL 32715-1254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA#8526 (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.
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About NPI 1063617892
John William Davidson, LMT's National Provider Identifier is 1063617892, issued on Jun 20, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orlando, FL. The record was last updated on Jul 8, 2007.