Organization
BLISS MYOFASCIAL RELEASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN PUCKETT P.T. (OWNER)
(727) 365-8838
Entity
Organization
Contact information
Practice address
800 TARPON WOODS BLVD STE F1, PALM HARBOR, FL 34685-2000
(727) 365-8838
Mailing address
800 TARPON WOODS BLVD, SUITE F1, PALM HARBOR, FL 34685-2011
(727) 365-8838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23951
FL
Other
Enumeration date
09/14/2012
Last updated
03/28/2017
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