Most Relevant Information
Provider Data
| NPI Number: | 1003315516 |
| Provider Name: | CARL JAMES RUTLEDGE NMT LMT MSOM |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA59841 |
Most Important Dates
| Enumeration Date: | 02/10/2018 |
| Last Updated: | 02/10/2018 |
Provider Practice Location
7229 CENTRAL AVE
ST PETERSBURG
FL
337107413
Practice Location Phone/Fax
| Phone: | 7272584786 |
| Fax: | 7272584786 |
Provider Mailing Location
7229 CENTRAL AVE
ST PETERSBURG
FL
337107413
Provider Mailing Phone/Fax
| Phone: | 7272584786 |
| Fax: | 7272584786 |