Doctor Name: | MR. LARRY MICHAEL GEORGE |
NPI Number: | 1043415086 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 33. 010521 |
Business Practice Address: | 2730 Ellwood Rd New Castle, PA - 161016276 |
Business Phone Number: | 7247300549 |
Business Fax Number: | |
Mailing Address: | 316 Roberts Ln, NEW CASTLE |
State: | PA |
Postal Code: | 161051326 |
Phone Number: | 7246579574 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33. 010521 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |