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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA46181 (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.