Individual
ISAIAH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2617 E LAKE AVE, TAMPA, FL 33610-7750
(813) 553-4166
Mailing address
2617 E LAKE AVE, TAMPA, FL 33610-7750
(813) 553-4166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA100233
FL
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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