Individual
ISSAC B MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
428 EDGE AVE, VALPARAISO, FL 32580-1090
(850) 300-8700
Mailing address
216 TRISH DR, CRESTVIEW, FL 32536-6454
(931) 802-9137
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA106166
FL
Other
Enumeration date
10/14/2024
Last updated
07/20/2025
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