MEDICARE: THERAPY & BODYWORK CENTER INC

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1699917534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THERAPY & BODYWORK CENTER INC

Provider Business Mailing Address
First Line	:	4023 N ARMENIA AVE SIUTE 220
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607
Country	:	US
Telephone Number	:	813-374-9288
Fax Number	:

Provider Business Practice Location Address
First Line	:	4023 N ARMENIA AVE SUITE 220
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607
Country	:	US
Telephone Number	:	813-374-9288
Fax Number	:

Authorized Official
Title or Position	:	MASSAGE THERAPY
Name	:	MISS DONNA L LAMMONS
Credential	:	LMT
Telephone Number	:	813-374-9288

Provider Enumeration Date	:	03/24/2009
Last Update Date	:	03/24/2009

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