Individual
GERI DEANNE MOTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
736 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957
(772) 878-2083
Mailing address
1696 SW LEXINGTON DR, PORT ST LUCIE, FL 34953-1629
(772) 878-2863
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA36479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2331
BLUECROSS BLUESHIELD OF FL
FL
Enumeration date
04/11/2011
Last updated
04/11/2011
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