Individual provider · Type 1 NPI

Janis E. Carruth, LMT

Specialist · St. Augustine, FL

NPI number 1811183353 Active

Practice location

2180 A1A S Ste 204
St. Augustine, FL 32080-6523

Call (904) 806-2033 Map

Mailing address

600 Cedar Bough Ct
St. Augustine, FL 32080-6580

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA34916 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1811183353

Janis E. Carruth, LMT's National Provider Identifier is 1811183353, issued on Sep 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 19, 2007.