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Anthony Williams, LCDC
Massage Therapist in St Petersburg, Florida
NPI 1083073068

Anthony Williams is a Massage Therapist based in St Petersburg, FL. Anthony Williams practices in St Petersburg, FL and has the professional credentials of LCDC. The NPI Number for Anthony Williams is 1083073068 and holds a License No. 8262 (Florida).

The current practice location address for Anthony Williams is 2709 17Th St S, St Petersburg, FL and can be reached out via phone at 512-731-4947. You can also correspond with Anthony Williams through the mailing address at 2709 17TH ST S, ST PETERSBURG, FL - 33712-3603 (mailing address contact number: 512-731-4947).

Location: 2709 17Th St S, St Petersburg, FL, 33712-3603
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Provider Profile Details
NPI Number
1083073068
Provider Name
Anthony Williams
Credential
LCDC
Provider Entity Type
Individual
Gender
Male
Address
2709 17Th St S, St Petersburg, FL, 33712-3603
Phone Number
512-731-4947
Fax Number
Provider Enumeration Date
02/18/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8262 01 TX LCDC
4280 A 01 FL CAC
901 01 GA CADC-I
105186 01 TX LMT
institution
Provider Business Practice Location Address Details
Address
2709 17Th St S
City
State
Zip
33712-3603
Phone Number
512-731-4947
Fax Number
person
Provider Business Mailing Address Details
Address
2709 17Th St S
City
State
Zip
33712-3603
Phone Number
512-731-4947
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
901 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
8262 (Texas)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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