Individual
MARY A FUTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
41444 SR19, UNIT 2, UMATILLA, FL 32784
(352) 771-5922
Mailing address
41444 SR19, UNIT 2, UMATILLA, FL 32784
(352) 771-5922
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA44823
FL
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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