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General NPI Number Information
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NPI Number | 1447354493
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Entity Type | Individual
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Provider Name | DEBORAH REID LMT
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Gender | Female
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2699 STIRLING ROAD SUITE A 105
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City | FT LAUDERDALE
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State | FL
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Zip | 33312
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Country | US
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Telephone | 954-865-8310
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Fax | 925-835-4250
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Provider Business Mailing Address
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Address Line | 16701 NE 14TH AVE APT 301
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2854
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Country | US
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Telephone | 305-944-9310
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Fax | 925-835-4250
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA47343
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License Number State | FL
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