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Organization
THERAPEUTIC AND SPORTS MASSAGE INC
Active
Organization
THERAPEUTIC AND SPORTS MASSAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN R SMITH LMT (OWNER THERAPIST)
(954) 776-1902
Entity
Organization
Contact information
Practice address
2821 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4216
(954) 776-1902
(954) 776-9130
Mailing address
2821 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-4216
(954) 776-1902
(954) 776-9130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA5866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5493
BLUECROSS BLUESHIELD
FL
Enumeration date
11/01/2006
Last updated
08/22/2020
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