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Organization
THERAPEUTIC MASSAGE, INC.
Active
Organization
THERAPEUTIC MASSAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE L MCCRAIN LMT (PRESIDENT)
(772) 288-3095
Entity
Organization
Contact information
Practice address
413 CALIFORNIA AVE, STUART, FL 34994-2917
(772) 288-3095
Mailing address
413 CALIFORNIA AVE, STUART, FL 34994-2917
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA0004514
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5498
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/20/2007
Last updated
09/20/2007
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