NPI 1013252873

Craig F Wathen, LMT

Practitioner Massage Therapist Tampa, FL

Practice location

Address: 4728 E 98th Ave, Tampa, FL 33617-4512
Phone: (813) 454-2808

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA71333 (FL)

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Registry record

NPI: 1013252873
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2012
Record last updated: 5 Dec 2012

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.