Individual provider · Type 1 NPI

Sue Ellen Williams, LMT

Massage Therapist · Titusville, FL

NPI number 1508059551 Active

Practice location

772 Country Club Dr
Titusville, FL 32780-4955

Mailing address

5305 Watermill Ln, Apt 204
Titusville, FL 32780-7808

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA46181 (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 1508059551

Sue Ellen Williams, LMT's National Provider Identifier is 1508059551, issued on Aug 23, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Titusville, FL. The record was last updated on Aug 6, 2009.