NPI 1013241157

Emiliano D Tesalona, LMT

Practitioner Mechanotherapist Port St Lucie, FL

Practice location

Address: 162 NW Swann Mill Cir, Port St Lucie, FL 34986-3592
Phone: (772) 285-5403
Fax: (772) 345-4979

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA15944 (FL)

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Registry record

NPI: 1013241157
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2009
Record last updated: 25 May 2011

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.