Doctor Name: | MRS. SARA DAUGHTRY MCCLAIN |
NPI Number: | 1467607903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T.A. |
License Number: | 35852 |
Business Practice Address: | 289 Sw Stonegate Ter Suite 101 Lake City, FL - 320243457 |
Business Phone Number: | 3867553164 |
Business Fax Number: | 3867553165 |
Mailing Address: | 289 Sw Stonegate Ter, Suite 101 LAKE CITY |
State: | FL |
Postal Code: | 320243457 |
Phone Number: | 3867553164 |
Fax Number: | 3867553165 |
NPI Enumeration Date: | 11/25/2008 |
NPI Last Update Date: | 11/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 35852 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |