Individual
MR. MATTHEW CHARLES HOURIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1291 CEDAR CENTER DR, TALLAHASSEE, FL 32301-4877
(850) 942-4115
Mailing address
5696 BRAVEHEART WAY, TALLAHASSEE, FL 32317-9408
(850) 445-2670
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA35189
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2193
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/22/2009
Last updated
10/22/2009
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