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NPI Code Detail

MEDICARE: JEFFREY M CLOSTER L.M.T.

MEDICARE: JEFFREY M CLOSTER L.M.T.
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
1225700000XMassage TherapistMA 37948FL

General Provider Information

NPI Number : 1275661803
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY M CLOSTER L.M.T.
Provider Business Mailing Address
First Line : 2624 FOREST HILL BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-5931
Country : US
Telephone Number : 561-296-1317
Fax Number : 561-296-1318
Provider Business Practice Location Address
First Line : 2624 FOREST HILL BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33406-5931
Country : US
Telephone Number : 561-296-1317
Fax Number : 561-296-1318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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