Individual provider · NPI-1

Benjamin Beldock, LMT

Massage Therapist · Tallahassee, FL

NPI number1285908491
StatusActive
Last updated in NPPESMar 6, 2012

Details

NPI
1285908491
Entity type
Individual (NPI-1)
Name
Benjamin Beldock
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 6, 2012
Last updated
Mar 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist1173MAYes
225700000X Massage TherapistMA#9951FL
225700000X Massage Therapist010402-1NY

Practice location

203 Oakland Ave
Tallahassee, FL 32301-4441

Phone 850-425-5009

Mailing address

203 Oakland Ave
Tallahassee, FL 32301-4441

Phone 850-425-5009

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