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Richard Light, LMT
Massage Therapist in High Springs, Florida
NPI 1518689330

Richard Light is a Massage Therapist based in High Springs, FL. Richard Light practices in High Springs, FL and has the professional credentials of LMT. The NPI Number for Richard Light is 1518689330 and holds a License No. MA40231 (Florida).

The current practice location address for Richard Light is 18708 Nw 242Nd St, High Springs, FL and can be reached out via phone at 386-984-1222.

Location: 18708 Nw 242Nd St, High Springs, FL, 32643-9141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518689330
Provider Name
Richard Light
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
18708 Nw 242Nd St, High Springs, FL, 32643-9141
Phone Number
386-984-1222
Fax Number
Provider Enumeration Date
09/19/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA40231 01 FL FL BOARD OF MASSAGE
institution
Provider Business Practice Location Address Details
Address
18708 Nw 242Nd St
City
High Springs
State
Florida
Zip
32643-9141
Phone Number
386-984-1222
Fax Number
person
Provider Business Mailing Address Details
Address
18708 Nw 242Nd St
City
High Springs
State
Florida
Zip
32643-9141
Phone Number
386-984-1222
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA40231 (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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