Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA71284 | FL |
NPI | 1003250788 |
---|---|
Provider Name | Michael Steeves |
First Address | Gainesville, FL 32606-6914 |
Second Address | Gainesville, FL 32606-5952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2013 |
Last Update Date | 24/04/2013 |