Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720108905 Individual Practitioner Male Practitioner

Harold Earl Tullock , LMT

Massage Therapist • Shalimar, FL

Professional Overview & Biography Verified Profile Summary

Harold Tullock, LMT is a registered healthcare professional specializing in Massage Therapist in Shalimar, FL. Practice services are available at 60 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

60 2nd St
Ste. 203

Shalimar, FL 325791769

Telephone 8506512286
Fax 8506512286

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Shalimar, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Shalimar, FL (7145 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License FL MA33743

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Christine Campbell , LMT

Massage Therapist

NPI 1740587674

Licensed Massage Therapist

Julie Bloodworth , MS

Speech-Language Pathologist

NPI 1942680566

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 60 2ND ST, STE. 203, SHALIMAR, FL 325791769 (Tel: 8506512286)

📍
Updated Business Mailing Address July 08, 2007

Registered at 56 9TH AVE, SHALIMAR, FL 325791344 (Tel: 8505434355)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HAROLD TULLOCK, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Massage Therapist (License #MA33743 in FL)

🟢
Initial NPI Registration & Enumeration March 30, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720108905
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

56 9th Ave

Shalimar, FL 325791344

Phone: 8505434355

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.