Individual
MR. HALLIE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1200 W AVON BLVD, AVON PARK, FL 33825-8343
(863) 443-2671
Mailing address
124 HILL CIR, LAKE WALES, FL 33859-7552
(863) 443-2671
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA53367
FL
Other
Enumeration date
10/30/2009
Last updated
10/30/2009
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