Individual
MR. JOHN F RAETHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
14550 SW 21ST ST, DAVIE, FL 33325-4925
(954) 370-1055
(954) 370-1055
Mailing address
14550 SW 21ST ST, DAVIE, FL 33325-4925
(954) 370-1055
(954) 370-1055
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA33205
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
682301700
—
FL
Enumeration date
10/13/2010
Last updated
10/13/2010
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