NPI 1003149709

Susan Marie Domfort, LMTHMLDTCOTA

Practitioner Massage Therapist Ocala, FL

Practice location

Address: 1328 SE 25th Loop Suite 101, Ocala, FL 34471-1026
Phone: (352) 804-7617
Fax: (352) 622-6100
Mailing address: 663 SE 19th St, Ocala, FL 34471-5324

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA53889 (FL)

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Registry record

NPI: 1003149709
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2009
Record last updated: 12 Sep 2009

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.