Provider Demographics
NPI:1477735520
Name:PREECE, JUDITH (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:PREECE
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7147 CURTISS AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-8012
Mailing Address - Country:US
Mailing Address - Phone:941-921-5809
Mailing Address - Fax:941-921-5249
Practice Address - Street 1:7147 CURTISS AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-8012
Practice Address - Country:US
Practice Address - Phone:941-921-5809
Practice Address - Fax:941-921-5249
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA0011658225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA0011658OtherSTATE LICENSE NUMBER