Individual
JOHN R MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
851 NW 250TH TER, SUITE 2, NEWBERRY, FL 32669-4461
(352) 472-3478
(352) 472-3694
Mailing address
PO BOX 176, NEWBERRY, FL 32669-0176
(352) 472-3478
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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