Individual provider · Type 1 NPI

Richard C. Sturdivant, LMT

Specialist · Melrose, FL

NPI number 1417150905 Active

Practice location

123 1st St
Melrose, FL 32666-3030

Fax (352) 478-2300

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA18359 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417150905

Richard C. Sturdivant, LMT's National Provider Identifier is 1417150905, issued on Jun 11, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Melrose, FL. The record was last updated on Jul 8, 2007.