Organization
CLEAR PASSAGE THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY WAGNER (ADMINISTRATOR)
(352) 336-1433
Entity
Organization
Contact information
Practice address
4421 NW 39TH AVENUE, STE 2-2, GAINESVILLE, FL 32606
(352) 336-1433
(352) 336-9980
Mailing address
4421 NW 39TH AVENUE, STE 2-2, GAINESVILLE, FL 32606
(352) 336-1433
(352) 336-9980
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/08/2007
Last updated
05/20/2019
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