MEDICARE: BRIAN HEALY LMT,AP,DOM

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	171100000X	Acupuncturist	AP3241	FL
2	225700000X	Massage Therapist	MA18793	FL

General Provider Information

NPI Number	:	1073953543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN HEALY LMT,AP,DOM

Provider Business Mailing Address
First Line	:	16680 MCGREGOR BLVD STE 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3826
Country	:	US
Telephone Number	:	239-395-1100
Fax Number	:	866-936-4172

Provider Business Practice Location Address
First Line	:	16680 MCGREGOR BLVD STE 2
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-3826
Country	:	US
Telephone Number	:	239-395-1100
Fax Number	:	866-936-4172

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

Provider Enumeration Date	:	06/28/2013
Last Update Date	:	02/16/2026

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