John D Sampedro, LMT
Massage Therapist in St Petersburg, FL. Individual provider (NPI-1).
NPI number1396949335
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1396949335
- Entity type
- Individual (NPI-1)
- Name
- John D Sampedro
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA17212 | FL | Yes |
Practice location
1920 4th St NSt Petersburg, FL 33704-4308
Phone 727-804-6716
Mailing address
1920 4th St NSt Petersburg, FL 33704-4308
Phone 727-804-6716
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