Organization
IBW GROUP, LLC
Active
Other names
Integrated Body Work
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J LEWIS LMT (OWNER)
(386) 719-8887
Entity
Organization
Contact information
Practice address
272 SW ALACHUA AVE, LAKE CITY, FL 32025
(386) 719-8887
(386) 719-6880
Mailing address
PO BOX 2313, LAKE CITY, FL 32056
(386) 719-8887
(386) 719-6880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60365
FL
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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