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Mr. James Rufus Coulliette JR., LMT
Massage Therapist in Leesburg, Florida
NPI 1922255660

James Rufus Coulliette JR. is a Massage Therapist based in Leesburg, FL. James Rufus Coulliette JR. practices in Leesburg, FL and has the professional credentials of LMT. The NPI Number for James Rufus Coulliette JR. is 1922255660 and holds a License No. MA-45688 (Florida).

The current practice location address for James Rufus Coulliette JR. is 33306 Portal Dr, Leesburg, FL and can be reached out via phone at 352-253-2353.

Location: 33306 Portal Dr, Leesburg, FL, 34789-5321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922255660
Provider Name
James Rufus Coulliette JR.
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
33306 Portal Dr, Leesburg, FL, 34789-5321
Phone Number
352-253-2353
Fax Number
Provider Enumeration Date
08/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA-45688 01 FL LICENSED MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
33306 Portal Dr
City
Leesburg
State
Florida
Zip
34788-3171
Phone Number
352-253-2353
Fax Number
person
Provider Business Mailing Address Details
Address
33306 Portal Dr
City
Leesburg
State
Florida
Zip
34788-3171
Phone Number
352-253-2353
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA-45688 (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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