Individual provider · Type 1 NPI

Ruza Vacek Richardson, LMT, BA

Massage Therapist · St. Petersburg, FL

NPI number 1639316441 Active

Practice location

3801 Park St N, Suite #2
St. Petersburg, FL 33709-4078

Mailing address

3908 58th Ave N
St. Petersburg, FL 33714-1131

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X13778 (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 1639316441

Ruza Vacek Richardson, LMT, BA's National Provider Identifier is 1639316441, issued on Jan 15, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jan 15, 2009.