Individual
CRAIG ANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1810 NW 6TH ST STE B, GAINESVILLE, FL 32609-8535
(843) 901-9177
Mailing address
1404 SW 10TH TER APT 20, GAINESVILLE, FL 32601-7874
(843) 901-9177
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA98683
FL
Other
Enumeration date
01/07/2022
Last updated
03/08/2022
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