Individual
JOHN TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
16 N FORT HARRISON AVE, CLEARWATER, FL 33755-4015
(727) 504-0344
Mailing address
1796 SUFFOLK DR, CLEARWATER, FL 33756-1840
(727) 282-2464
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8834
FL
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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