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Lori Jean Clissold
Massage Therapist in St Petersburg, Florida
NPI 1184042483

Lori Jean Clissold is a Massage Therapist based in Tampa, FL. Lori Jean Clissold practices in St Petersburg, FL. The NPI Number for Lori Jean Clissold is 1184042483 and holds a License No. MA 64886 (Florida).

The current practice location address for Lori Jean Clissold is 10033 Dr Martin Luther King Jr St N Ste 300, St Petersburg, FL and can be reached out via phone at 727-498-8898 and via fax at 727-800-6959.

Location: 10033 Dr Martin Luther King Jr St N Ste 300, St Petersburg, FL, 33606-2292
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184042483
Provider Name
Lori Jean Clissold
Credential
Provider Entity Type
Individual
Gender
Female
Address
10033 Dr Martin Luther King Jr St N Ste 300, St Petersburg, FL, 33606-2292
Phone Number
727-498-8898
Fax Number
727-800-6959
Provider Enumeration Date
04/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10033 Dr Martin Luther King Jr St N Ste 300
City
St Petersburg
State
Florida
Zip
33716-3830
Phone Number
727-498-8898
Fax Number
727-800-6959
person
Provider Business Mailing Address Details
Address
10033 Dr Martin Luther King Jr St N Ste 300
City
St Petersburg
State
Florida
Zip
33716-3830
Phone Number
727-498-8898
Fax Number
727-800-6959
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA 64886 (Florida)
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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