Randall James Rogers in Eustis - Massage Therapist

Randall James Rogers - NPI 1083741722

Randall James Rogers is a Massage Therapist in Eustis, Florida. Randall James Rogers practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Randall James Rogers is 1083741722. The last update date is 2018-11-16.

Randall James Rogers's current location address is 601 Jennings Ave, Eustis, Florida. You can contact this provider via phone number 3523575311 and fax number 3523570659. The mailing address for Randall James Rogers is 601 Jennings Ave, Eustis, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall James Rogers
Address 601 Jennings Ave, Eustis, Florida
Phone Number 3523575311
Fax Number 3523570659
Sole Proprietor N
Credentials PA-C, LMT

NPI Number Detail

NPI Number 1083741722
Provider Enumeration Date 2007-02-28
Last Updated Date 2018-11-16

Provider Mailing Address Detail

Address 601 Jennings Ave
City Eustis
State Florida (FL)
Post Code 327266148
Phone Number 3523575311
Fax Number 3523570659

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No MA58093
Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MA58093 FL STATE OF FLORIDA LICENSE
PA 9102164 FL STATE OF FLORIDA LICENSE

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FAQs about Randall James Rogers

What is the unique identifier code issued to Randall James Rogers by the Centers for Medicare & Medicaid Services?

The Randall James Rogers has been assigned the NPI (National Provider Identifier) 1083741722. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Randall James Rogers's facilities are geographically located?

The facilities of Randall James Rogers are physically situated at the following location: 601 Jennings Ave, Eustis, FL, 327266148.

What is Randall James Rogers's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Randall James Rogers is Massage Therapist, and the taxonomy code that classifies this field of practice is 225700000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083741722 to Randall James Rogers?

The Randall James Rogers received its 1083741722 assignment from the Centers for Medicare & Medicaid Services on 2007-02-28.

When was the information related to Randall James Rogers most recently updated or refreshed?

The details pertaining to the Randall James Rogers, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-11-16.

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