Wellformed AI

NPI 1508146598 · live from the CMS NPI Registry

Clarissa Irene Allen, LMT

Massage Therapist in Land O Lakes, FL. National Provider Identifier 1508146598, active.

NPI record

NPI1508146598 Type 1 · individual
StatusActive
Primary specialtyMassage Therapist 225700000X
Practice location11541 Murcott Way, Land O Lakes, FL 34638
Practice phone813-527-4391
EnumeratedAugust 22, 2011
Last updatedAugust 22, 2011
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist primary225700000XMA46503 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.