Provider Demographics
NPI:1063772242
Name:ARTHUR, ELIZABETH GAIL (LMT)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:GAIL
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 106
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32056-0106
Mailing Address - Country:US
Mailing Address - Phone:386-288-0514
Mailing Address - Fax:
Practice Address - Street 1:124 NW MADISON ST
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-3922
Practice Address - Country:US
Practice Address - Phone:386-288-0514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30584225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist