Individual
MR. CLAYTON RUSSELL FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
25 TINKLING SPRING RD, FISHERSVILLE, VA 22939-2261
(540) 820-2888
Mailing address
1975 E SIDE HWY, CRIMORA, VA 24431-2430
(540) 820-2888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
00019014677
VA
Other
Enumeration date
10/23/2017
Last updated
07/23/2021
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