Individual
JOYCE ANN PRAHASKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
1515 DALE MABRY HWY STE 102, LUTZ, FL 33548-3023
(813) 515-0369
Mailing address
1515 DALE MABRY HWY STE 102, LUTZ, FL 33548-3023
(813) 787-6399
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61184
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA61184
MASSAGE THERAPY
FL
Enumeration date
07/31/2020
Last updated
07/31/2020
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