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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA9015 (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.