MEDICARE: DAWN CLIFTON LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA28712	FL

General Provider Information

NPI Number	:	1013111038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN CLIFTON LMT

Provider Business Mailing Address
First Line	:	2240 W WOOLBRIGHT RD
Second Line	:	SUITE 406
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6332
Country	:	US
Telephone Number	:	561-735-3394
Fax Number	:	561-735-3394

Provider Business Practice Location Address
First Line	:	2240 W WOOLBRIGHT RD
Second Line	:	SUITE 406
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33426-6332
Country	:	US
Telephone Number	:	561-735-3394
Fax Number	:	561-735-3394

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	07/08/2007

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Directions to “ DAWN CLIFTON LMT” Practice Location

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