Matthew Thomas Grubb in Lake City - Massage Therapist
Matthew Thomas Grubb - NPI 1235151234
Matthew Thomas Grubb is a Massage Therapist in Lake City, Florida. Matthew Thomas Grubb practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Matthew Thomas Grubb is 1235151234. The last update date is 2010-04-14.
Matthew Thomas Grubb's current location address is 1206 Sw Main Blvd, Lake City, Florida. You can contact this provider via phone number 3867192500 and fax number 3867192500. The mailing address for Matthew Thomas Grubb is 1206 Sw Main Blvd, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Thomas Grubb |
|---|---|
| Address | 1206 Sw Main Blvd, Lake City, Florida |
| Phone Number | 3867192500 |
| Fax Number | 3867192500 |
| Sole Proprietor | Y |
| Credentials | L.M.T. |
NPI Number Detail
| NPI Number | 1235151234 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2010-04-14 |
Provider Mailing Address Detail
| Address | 1206 Sw Main Blvd |
|---|---|
| City | Lake City |
| State | Florida (FL) |
| Post Code | 320256684 |
| Phone Number | 3867192500 |
| Fax Number | 3867192500 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA21745 |
|
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 |
|---|---|---|---|
| C8328 | FL | BLUE CROSS BLUE SHIELD PR |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Matthew Thomas Grubb by the Centers for Medicare & Medicaid Services?
The Matthew Thomas Grubb has been issued the NPI (National Provider Identifier) 1235151234 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Matthew Thomas Grubb is located?
The Matthew Thomas Grubb is situated at the following address: 1206 Sw Main Blvd, Lake City, FL, 320256684.
What is Matthew Thomas Grubb's specialized field of practice, and what is the corresponding taxonomy classification code?
The Matthew Thomas Grubb's area of specialization is Massage Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225700000X.
When was the Matthew Thomas Grubb's 1235151234 issued?
The Matthew Thomas Grubb's 1235151234 was issued on 2006-07-25.
As of what date were the details related to Matthew Thomas Grubb most recently updated or revised?
The information pertaining to Matthew Thomas Grubb, including its address, specialty, and other relevant details, was last updated or revised on 2010-04-14.