Most Relevant Information
Provider Data
| NPI Number: | 1003060625 |
| Provider Name: | JOEL RAYBURN LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA 0017506 |
Most Important Dates
| Enumeration Date: | 11/10/2008 |
| Last Updated: | 10/09/2013 |
Provider Practice Location
2111 E MICHIGAN ST
SUITE 202
ORLANDO
FL
328064983
Practice Location Phone/Fax
| Phone: | 4078975377 |
| Fax: |
Provider Mailing Location
225 E CRYSTAL LAKE ST
ORLANDO
FL
328064515
Provider Mailing Phone/Fax
| Phone: | 4078975377 |
| Fax: |