Provider Demographics
NPI:1992988554
Name:MUSCLE THERAPIES USA LLC
Entity type:Organization
Organization Name:MUSCLE THERAPIES USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:TALIA
Authorized Official - Last Name:KILEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:352-369-4357
Mailing Address - Street 1:520 E FORT KING ST
Mailing Address - Street 2:SUITE B2
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2267
Mailing Address - Country:US
Mailing Address - Phone:352-369-4357
Mailing Address - Fax:352-402-0276
Practice Address - Street 1:520 E FORT KING ST
Practice Address - Street 2:SUITE B2
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2267
Practice Address - Country:US
Practice Address - Phone:352-369-4357
Practice Address - Fax:352-402-0276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL#MM20676225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty