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Seth R Boone, LMT

Massage Therapist in Winter Haven, FL. Individual provider (NPI-1).

NPI number1891944005
StatusActive
Last updated in NPPESSep 11, 2008

Details

NPI
1891944005
Entity type
Individual (NPI-1)
Name
Mr. Seth R Boone
Credential
LMT
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 11, 2008
Last updated
Sep 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMA30621FLYes
225700000X Massage Therapist27 010507NY

Practice location

34 3rd St Sw
Winter Haven, FL 33880-2905

Phone 863-299-7405

Mailing address

34 3rd St Sw
Winter Haven, FL 33880-2905

Phone 863-299-7405

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