Tim Herlihy LMT

NPI 1063789964 - Massage Therapist - 225700000X

NPI Details
NPI 1063789964
Gender Male
Enumeration Date 11/20/2011
Last Updated 11/20/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3016 3RD ST S
UNIT 102
JACKSONVILLE BEACH FL, 32250-6011, US
Phone (904) 473-5913
Fax
Business Location
27 ARBOR CLUB DR
UNIT 216
PONTE VEDRA BEACH FL, 32082-2666, US
Phone (904) 473-5913
Fax
Toxanomy
Taxonomy Code 225700000X
License State Florida
License Number MA66119
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According to our database, Mr. Tim Herlihy LMT NPI is 1063789964, taxonomy code is 225700000X and license number is MA66119, license state is located at Florida. Tim Herlihy LMT physically located at 3016 3rd St S, Jacksonville Beach FL, 32250-6011. NPI Number Tim Herlihy LMT has the Individual type.

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1063789964 NPI number is provided on an as is basis without warranty of any kind. 1063789964 is maintained by the National Plan & Provider Enumeration System. The contents of Tim Herlihy LMT are for informational purposes only.