Lori J Mears, LMT

Individual provider Active NPI Massage Therapist · Umatilla, FL

NPI 1689203804 · NPPES record last updated Apr 8, 2020

Key facts

NPI
1689203804
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA64485 (FL)
Practice address
17225 SE 248TH Ter
Umatilla, FL 32784-9146
Phone
(352) 434-5389
NPI assigned
Apr 8, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA64485FLMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA64485 FL Yes

Addresses

Primary practice location

17225 SE 248TH Ter
Umatilla, FL 32784-9146

Mailing address

17225 SE 248TH Ter
Umatilla, FL 32784-9146
Phone (352) 434-5389

Other providers in Umatilla, FL

All providers in Umatilla, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.