Individual
MR. MICHEL REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPY
Contact information
Practice address
15105 MONET DR, TAMPA, FL 33613-1209
(813) 476-3102
Mailing address
15105 MONET DR, TAMPA, FL 33613-1209
(813) 476-3102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9667060
FL
225400000X
Rehabilitation Practitioner
Primary
MA 44756
FL
Other
Enumeration date
05/24/2007
Last updated
08/19/2024
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