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TIMOTHY A AGEW

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1902030802

Individual Registrant:
 TIMOTHY A AGEW 
Gender: M
Sole Proprietor

Location and contact information for practice:
1501 N LOCKWOOD RIDGE RD  SARASOTA, FL 34237-3218 US
Tel: 941-362-9627  Fax: --

Contact information for business:
1501 N LOCKWOOD RIDGE RD  SARASOTA, FL 34237-3218 US
Tel: 941-362-9627  Fax: --

Registration Information:
NPI: 1902030802
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
FLMA21615
Y226300000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Kinesiotherapist
FLMA21615

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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