Individual
LISA BUCKLER WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
611 NE 25TH AVENUE, OCALA, FL 34470
(352) 895-0334
Mailing address
611 NE 25TH AVENUE, OCALA, FL 34470
(352) 895-0334
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
54711
FL
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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