MEDICARE: MR. ALVIN SAYRE 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	MA 40989	FL

General Provider Information

NPI Number	:	1407183312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALVIN SAYRE LMT

Provider Business Mailing Address
First Line	:	10341 SYMPHONY LN
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-3112
Country	:	US
Telephone Number	:	561-667-4372
Fax Number	:

Provider Business Practice Location Address
First Line	:	10341 SYMPHONY LN
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-3112
Country	:	US
Telephone Number	:	561-667-4372
Fax Number	:

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

Provider Enumeration Date	:	11/13/2009
Last Update Date	:	11/13/2009

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