Tifani Megan Revels Lee LMT

NPI 1275963670 - Massage Therapist - 225700000X

NPI Details
NPI 1275963670
Gender Female
Enumeration Date 11/21/2013
Last Updated 02/09/2016
Entity Type Individual
Active Over 3 years ago
Practice Location
6202 PRESIDENTIAL CT
SUITE B
FORT MYERS FL, 33919-3563, US
Phone (239) 481-8855
Fax
Business Location
756 HALSEY AVE
LEHIGH ACRES FL, 33974-2654, US
Phone (239) 481-8855
Fax
Toxanomy
Taxonomy Code 225700000X
License State Florida
License Number MA74492
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According to our database, Mrs. Tifani Megan Revels Lee LMT NPI is 1275963670, taxonomy code is 225700000X and license number is MA74492, license state is located at Florida. Tifani Megan Revels Lee LMT physically located at 6202 Presidential Ct, Fort Myers FL, 33919-3563. NPI Number Tifani Megan Revels Lee LMT has the Individual type.

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1275963670 NPI number is provided on an as is basis without warranty of any kind. 1275963670 is maintained by the National Plan & Provider Enumeration System. The contents of Tifani Megan Revels Lee LMT are for informational purposes only.