Mrs. Susan Marie Domfort
Massage Therapist
1328 Se 25th Loop Suite 101
Ocala
, Florida 34471-1026
Mrs. Susan Marie Domfort
Massage Therapist
1328 Se 25th Loop Suite 101
Ocala
, Florida 34471-1026
(352) 622-6100
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mrs. Susan Marie Domfort
- 663 Se 19th St
- Ocala, FL
- Zip : 34471-5324
- Fax : (352) 622-6100
- Phone : (352) 804-7617
Second Address
- Mrs. Susan Marie Domfort
- 1328 Se 25th Loop Suite 101
- Ocala, FL
- Zip : 34471-1026
- Fax : (352) 622-6100
- Phone : (352) 804-7617
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA53889 | FL |
National Provider Identifier
| NPI | 1003149709 |
|---|---|
| Provider Name | Mrs. Susan Marie Domfort |
| First Address | Ocala, FL 34471-5324 |
| Second Address | Ocala, FL 34471-1026 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2009 |
| Last Update Date | 12/09/2009 |
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.