Jason Floyd Sutherland, LMT
Massage Therapist in Longwood, FL. Individual provider (NPI-1).
NPI number1437426558
StatusActive
Last updated in NPPESNov 17, 2011
Details
- NPI
- 1437426558
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason Floyd Sutherland
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2011
- Last updated
- Nov 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA47995 | FL | Yes |
Practice location
2009 Longwood Lake Mary RdSuite 1001
Longwood, FL 32750-3512
Phone 407-302-5552 · Fax 407-302-5556
Mailing address
2009 Longwood Lake Mary RdSuite 1001
Longwood, FL 32750-3512
Phone 407-302-5552 · Fax 407-302-5556
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