Individual provider · Type 1 NPI
Harold Earl Tullock, LMT
Massage Therapist · Shalimar, FL
NPI number
1720108905
Active
Practice location
60 2nd St, Ste. 203
Shalimar, FL 32579-1769
Fax (850) 651-2286
Mailing address
56 9th Ave
Shalimar, FL 32579-1344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA33743 (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.
2 other providers at this address
Other massage therapist providers in Shalimar
About NPI 1720108905
Harold Earl Tullock, LMT's National Provider Identifier is 1720108905, issued on Mar 30, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Shalimar, FL. The record was last updated on Jul 8, 2007.