Individual provider · Type 1 NPI

James P. Ballard Iv

Massage Therapist · Winter Haven, FL

NPI number 1174427199 Active

Practice location

3466 Evening Star Dr
Winter Haven, FL 33881-8776

Call (407) 927-2889 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA61699 (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 1174427199

James P. Ballard Iv's National Provider Identifier is 1174427199, issued on Oct 5, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Winter Haven, FL. The record was last updated on Oct 5, 2026.