Individual provider · Type 1 NPI

Lori Jean Clissold

Massage Therapist · St. Petersburg, FL

NPI number 1184042483 Active

Practice location

10033 Dr Martin Luther King Jr St N Ste 300
St. Petersburg, FL 33716-3830

Call (727) 498-8898 Map

Fax (727) 800-6959

Mailing address

301 W Platt St Ste 24
Tampa, FL 33606-2292

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA 64886 (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 1184042483

Lori Jean Clissold's National Provider Identifier is 1184042483, issued on Apr 3, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Petersburg, FL. The record was last updated on Apr 7, 2014.