Organization
MASSAGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH G GARVIN LMT (OWNER)
(561) 789-8953
Entity
Organization
Contact information
Practice address
500 NE SPANISH RIVER BLVD STE 35, BOCA RATON, FL 33431-4517
(561) 789-8953
Mailing address
2621 CRABAPPLE CIR, BOYNTON BEACH, FL 33436-6640
(561) 789-8953
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA53020
FL
Other
Enumeration date
01/28/2015
Last updated
03/11/2015
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