Individual
MR. ANSELMO IGNACIO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9409 US HIGHWAY 19, SPACE 423, PORT RICHEY, FL 34668-4625
(727) 597-8479
(727) 597-8434
Mailing address
9409 US HIGHWAY 19, SPACE 423, HUDSON, PASCO 34668
(727) 597-8479
(727) 597-8434
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA69614
FL
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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