Individual provider · Type 1 NPI

Tim M. Dudley, L.M.T.

Massage Therapist · Sarasota, FL

NPI number 1265504682 Active

Practice location

3150 Southgate Cir Ste C
Sarasota, FL 34239-5515

Mailing address

5316 Angeles Ave
Sarasota, FL 34235-3406

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA9015 (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 1265504682

Tim M. Dudley, L.M.T.'s National Provider Identifier is 1265504682, issued on Nov 14, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sarasota, FL. The record was last updated on Jul 8, 2007.