Individual provider · Type 1 NPI

Sylvia Willis Douglas, LMT

Massage Therapist · Lake City, FL

NPI number 1235341439 Active

Practice location

2086 SW Main Blvd
Lake City, FL 32025-0005

Call (386) 754-2821 Map

Fax (386) 754-2822

Mailing address

9764 SW Tustenuggee Ave
Lake City, FL 32024-1439

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA31731 (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 1235341439

Sylvia Willis Douglas, LMT's National Provider Identifier is 1235341439, issued on May 3, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lake City, FL. The record was last updated on Jul 8, 2007.