Provider Demographics
NPI:1831349323
Name:GRIFFITHS, DARLAJEAN MARIE (LMT)
Entity type:Individual
Prefix:MS
First Name:DARLAJEAN
Middle Name:MARIE
Last Name:GRIFFITHS
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 1:6700 WINKLER RD STE 1
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-7235
Mailing Address - Country:US
Mailing Address - Phone:239-481-5033
Mailing Address - Fax:239-481-0022
Practice Address - Street 1:6700 WINKLER RD STE 1
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-7235
Practice Address - Country:US
Practice Address - Phone:239-481-5033
Practice Address - Fax:239-481-0022
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA0008100225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist