MEDICARE: MR. PAUL L GALVEZ CMT, 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	MA51464	FL

General Provider Information

NPI Number	:	1164692430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PAUL L GALVEZ CMT, LMT

Provider Business Mailing Address
First Line	:	5032 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8129
Country	:	US
Telephone Number	:	561-667-6634
Fax Number	:

Provider Business Practice Location Address
First Line	:	5032 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8129
Country	:	US
Telephone Number	:	561-667-6634
Fax Number	:

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

Provider Enumeration Date	:	03/03/2008
Last Update Date	:	03/03/2008

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