Cavan Mair Valid NPI
Individual provider · Massage Therapist · Fort Walton Beach, FL
- NPI
- 1508195827
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- MA57810 (FL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2009-12-15
- Last updated
- 2010-10-01
Practice location
128 Eglin Pkwy Ne
Fort Walton Beach, FL 32548-4917
(850) 864-0800