Individual
MS. BARBARA M FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2720 NW 6TH ST, STE. 205, GAINESVILLE, FL 32609-2994
(352) 373-4626
Mailing address
2720 NW 6TH ST., STE. 205, GAINESVILLE, FL 32609-2998
(352) 373-4626
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA10081
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5264
BLUE CROSS BLUE SHIELD OF FLORIDA
FL
01
—
MA10081
STATE OF FLORIDA MASSAGE LICENSE
FL
Enumeration date
05/26/2008
Last updated
05/26/2008
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