Individual
BRIAN JOSEPH LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NBCHT, PT
Contact information
Practice address
322 S MARION AVE, LAKE CITY, FL 32025-7064
(386) 719-8887
(386) 438-8732
Mailing address
322 S MARION AVE, LAKE CITY, FL 32025-7064
(386) 719-8887
(386) 438-8732
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60365
FL
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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