NPI 1063721421

Roderick Anthony Foster, LMT

Practitioner Massage Therapist Merritt Island, FL

Practice location

Address: 595 N Courtenay Pkwy #203, Merritt Island, FL 32953-4851
Phone: (321) 453-8484
Fax: (321) 453-8448
Mailing address: PO Box 541210, Merritt Island, FL 32954-1210

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA59474 (FL)

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Registry record

NPI: 1063721421
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2010
Record last updated: 4 Oct 2010

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.