NPI 1194908350

Vicky C Royan, LMT

Practitioner Mechanotherapist Lake Butler, FL

Practice location

Address: 9274 NW 147th Way, Lake Butler, FL 32054-4133
Phone: (386) 496-1033

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA52046 (FL)

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Registry record

NPI: 1194908350
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2007
Record last updated: 11 Dec 2007

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.