Individual provider · Type 1 NPI

Michael William Willeford, MASSAGE THERAPIST LI

Massage Therapist · Orange City, FL

NPI number 1467698373 Active

Practice location

401 Dogwood Ave
Orange City, FL 32763

Call (386) 774-9150 Map

Mailing address

401 Dogwood Ave.
Orange City, FL 32763

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA23248 (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 1467698373

Michael William Willeford, MASSAGE THERAPIST LI's National Provider Identifier is 1467698373, issued on Dec 23, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orange City, FL. The record was last updated on Dec 23, 2008.