Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lyle Douglas Basham Jr., LMT

Individual provider Specialist · NPI 1487827846

Lyle Douglas Basham Jr., LMT is a Specialist in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2008
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

12284 Country White Cir
Tampa, FL 33635-6279
Phone: (813) 395-3175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MA52948 (FL)

Record details

NPI number1487827846
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 8, 2008
Last updated in NPPESApril 8, 2008

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