MEDICARE: CANDICE SHIRLEY KARSCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	6859	OH

General Provider Information

NPI Number	:	1689495947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDICE SHIRLEY KARSCH

Provider Business Mailing Address
First Line	:	PO BOX 55
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45409-0055
Country	:	US
Telephone Number	:	937-222-3345
Fax Number	:

Provider Business Practice Location Address
First Line	:	78 S TERRY ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45403-1810
Country	:	US
Telephone Number	:	937-222-3345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2024
Last Update Date	:	10/21/2024

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Directions to “ CANDICE SHIRLEY KARSCH ” Practice Location

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