Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CLAYTON RUSSELL FITZGERALD, LMT
Active Sole ProprietorMR. CLAYTON RUSSELL FITZGERALD, LMT is a Massage Therapist healthcare provider located in FISHERSVILLE, Virginia. NPI 1306357850 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · FISHERSVILLE, VA
Registration Details
- NPI Number
- 1306357850
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2017 (8.7985195978147 yrs)
- Last Updated
- Jul 23, 2021
- License
-
00019014677 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 TINKLING SPRING RDFISHERSVILLE, VA, 229392261Browse VA providers · Browse ZIP 22939
- Phone
- 5408202888
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.