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Mr. Matthew Thomas Grubb, LMT
Massage Therapist in Lake City, Florida
NPI 1235151234

Matthew Thomas Grubb is a Massage Therapist based in Lake City, FL. Matthew Thomas Grubb practices in Lake City, FL and has the professional credentials of LMT. The NPI Number for Matthew Thomas Grubb is 1235151234 and holds a License No. MA21745 (Florida).

The current practice location address for Matthew Thomas Grubb is 1206 Sw Main Blvd, Lake City, FL and can be reached out via phone at 386-719-2500 and via fax at 386-719-2500.

Location: 1206 Sw Main Blvd, Lake City, FL, 32025-6684
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235151234
Provider Name
Matthew Thomas Grubb
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1206 Sw Main Blvd, Lake City, FL, 32025-6684
Phone Number
386-719-2500
Fax Number
386-719-2500
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C8328 01 FL BLUE CROSS BLUE SHIELD PR
institution
Provider Business Practice Location Address Details
Address
1206 Sw Main Blvd
City
Lake City
State
Florida
Zip
32025-6684
Phone Number
386-719-2500
Fax Number
386-719-2500
person
Provider Business Mailing Address Details
Address
1206 Sw Main Blvd
City
Lake City
State
Florida
Zip
32025-6684
Phone Number
386-719-2500
Fax Number
386-719-2500
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA21745 (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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