Provider Demographics
NPI:1104041904
Name:SAWYERS, DARCY REGINA (LMT)
Entity Type:Individual
Prefix:MS
First Name:DARCY
Middle Name:REGINA
Last Name:SAWYERS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4109 NW 44TH CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4507
Mailing Address - Country:US
Mailing Address - Phone:325-514-9887
Mailing Address - Fax:352-372-3159
Practice Address - Street 1:117 NW MONROE AVE.
Practice Address - Street 2:
Practice Address - City:MAYO
Practice Address - State:FL
Practice Address - Zip Code:32066
Practice Address - Country:US
Practice Address - Phone:352-514-9887
Practice Address - Fax:352-372-3159
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA0024270225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC8022OtherBCBS