Individual provider · Type 1 NPI

Larry Stephen Semerad, B.A., L.M.T.

Massage Therapist · Destin, FL

NPI number 1770655672 Active

Practice location

9 Gulf Breeze Ct
Destin, FL 32541-3041

Call (850) 830-4608 Map

Mailing address

66 Dalton Dr.
Santa Rosa Beach, FL 32459-6512

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA31435 (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 1770655672

Larry Stephen Semerad, B.A., L.M.T.'s National Provider Identifier is 1770655672, issued on Nov 15, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Destin, FL. The record was last updated on Jul 8, 2007.