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Lisa Nicole Tatum
Massage Therapist in Panama City Beach, Florida
NPI 1801678958

Lisa Nicole Tatum is a Massage Therapist based in Panama City, FL. Lisa Nicole Tatum practices in Panama City Beach, FL. The NPI Number for Lisa Nicole Tatum is 1801678958 and holds a License No. MA76620 (Florida).

The current practice location address for Lisa Nicole Tatum is 601 Grand Panama Blvd, Panama City Beach, FL and can be reached out via phone at 850-276-3719.

Location: 601 Grand Panama Blvd, Panama City Beach, FL, 32405-6471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801678958
Provider Name
Lisa Nicole Tatum
Credential
Provider Entity Type
Individual
Gender
Female
Address
601 Grand Panama Blvd, Panama City Beach, FL, 32405-6471
Phone Number
850-276-3719
Fax Number
Provider Enumeration Date
10/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 Grand Panama Blvd
City
Panama City Beach
State
Florida
Zip
32407-3456
Phone Number
850-276-3719
Fax Number
person
Provider Business Mailing Address Details
Address
601 Grand Panama Blvd
City
Panama City Beach
State
Florida
Zip
32407-3456
Phone Number
850-276-3719
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA76620 (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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