NPI 1003060625

Joel Rayburn, LMT

Practitioner Massage Therapist Orlando, FL

Practice location

Address: 2111 E Michigan St Suite 202, Orlando, FL 32806-4983
Phone: (407) 897-5377
Mailing address: 225 E Crystal Lake St, Orlando, FL 32806-4515

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA 0017506 (FL)

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Registry record

NPI: 1003060625
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2008
Record last updated: 9 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.