Organization
INTERVENTION MASSAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS GEORGE BUCK LMT: MA94750 (MANAGING OWNER)
(407) 202-9195
Entity
Organization
Contact information
Practice address
425 AVALON PARK SOUTH BLVD STE 600, ORLANDO, FL 32828-6702
(407) 202-9195
Mailing address
425 AVALON PARK SOUTH BLVD STE 600, ORLANDO, FL 32828-6702
(407) 202-9195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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