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Le Camelot Llc
Massage Therapist in Lutz, Florida
NPI 1831487032

Le Camelot Llc is a Massage Therapist based in Lutz, FL. Le Camelot Llc practices in Lutz, FL. The NPI Number for Le Camelot Llc is 1831487032 and holds a License No. MA005943 (Florida).

The current practice location address for Le Camelot Llc is 19923 Jodi Dr, Lutz, FL and can be reached out via phone at 813-774-4475 and via fax at 813-435-2001.

Location: 19923 Jodi Dr, Lutz, FL, 33558-5005
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831487032
Provider Name
Le Camelot Llc
Credential
Provider Entity Type
Organization
Address
19923 Jodi Dr, Lutz, FL, 33558-5005
Phone Number
813-774-4475
Fax Number
813-435-2001
Provider Enumeration Date
07/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1285961037 01 FL INDIVIDUAL NPI
9566677 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
19923 Jodi Dr
City
Lutz
State
Florida
Zip
33558-5005
Phone Number
813-774-4475
Fax Number
813-435-2001
person
Provider Business Mailing Address Details
Address
19923 Jodi Dr
City
Lutz
State
Florida
Zip
33558-5005
Phone Number
813-774-4475
Fax Number
813-435-2001
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA005943 (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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