Individual
BRENT CRAIG STUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
521 E COLLEGE AVE, TALLAHASSEE, FL 32301-2528
(850) 942-7003
Mailing address
1127 BRAFFORTON DR, TALLAHASSEE, FL 32311-0710
(850) 942-7003
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA30018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C9013
BLUE CROSS BLUE SHIELD PR
FL
Enumeration date
02/09/2007
Last updated
07/08/2007
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