NPI 1215258439

Harry Waranch, LMT

Practitioner Mechanotherapist St Augustine, FL

Practice location

Address: 2225 A1a S STE B1, St Augustine, FL 32080-7906
Phone: (904) 461-9901

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA23744 (FL)

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Registry record

NPI: 1215258439
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2010
Record last updated: 22 Jun 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.