Mr. Gregory Houston Neely
Massage Therapist
240 Ridgewood Ave
Holly Hill
, Florida 32117-4944
Mr. Gregory Houston Neely
Massage Therapist
240 Ridgewood Ave
Holly Hill
, Florida 32117-4944
(386) 492-2958
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mr. Gregory Houston Neely
- 240 Ridgewood Ave
- Holly Hill, FL
- Zip : 32117-4944
- Phone : (386) 492-2958
Second Address
- Mr. Gregory Houston Neely
- 240 Ridgewood Ave
- Holly Hill, FL
- Zip : 32117-4944
- Phone : (386) 492-2958
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Is Mr. Gregory Houston Neely a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA54198 | FL |
National Provider Identifier
| NPI | 1013161348 |
|---|---|
| Provider Name | Mr. Gregory Houston Neely |
| First Address | Holly Hill, FL 32117-4944 |
| Second Address | Holly Hill, FL 32117-4944 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2008 |
| Last Update Date | 06/10/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000832900 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.