Individual
BAILEY MATTHEW WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5319 SUMMERLIN RD APT 10, FORT MYERS, FL 33919-7639
(704) 307-5096
Mailing address
5319 SUMMERLIN RD APT 10, FORT MYERS, FL 33919-7639
(704) 307-5096
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
103469
FL
225700000X
Massage Therapist
18667
NC
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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