NPI 1376803841

Gilford Wayne Roberts, LMT

Practitioner Massage Therapist Lyndhurst, OH

Practice location

Address: 1950 Richmond Rd Wellness Institute, Lyndhurst, OH 44124
Phone: (216) 633-1149
Mailing address: 1109 Plainfield Rd, South Euclid, OH 44121-2535

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 33. 014110 N-R (OH)

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Registry record

NPI: 1376803841
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2012
Record last updated: 18 May 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.