Individual
BILLY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
715 7TH AVE N APT 15, ST PETERSBURG, FL 33701-2270
(971) 323-2212
Mailing address
715 7TH AVE N APT 15, ST PETERSBURG, FL 33701-2270
(971) 323-2212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
104418
FL
225700000X
Massage Therapist
Primary
19075
OR
Other
Enumeration date
10/30/2014
Last updated
03/17/2026
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