Doctor Name: | DANIEL LANDIS |
NPI Number: | 1245518133 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MA57666 |
Business Practice Address: | 4820 W Newberry Rd Gainesville, FL - 326072249 |
Business Phone Number: | 3523732116 |
Business Fax Number: | |
Mailing Address: | 3811 Sw 38th St, GAINESVILLE |
State: | FL |
Postal Code: | 326082315 |
Phone Number: | 3525149969 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2011 |
NPI Last Update Date: | 07/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA57666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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. |