Organization
MASSAGGIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PATRICK CREADON OT (OWNER)
(813) 749-7101
Entity
Organization
Contact information
Practice address
12639 RACE TRACK RD, TAMPA, FL 33626-1331
(813) 749-7101
Mailing address
12639 RACE TRACK RD, TAMPA, FL 33626-1331
(813) 749-7101
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MM32184
FL
Other
Enumeration date
04/10/2014
Last updated
04/11/2014
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