MEDICARE: MS. PATSY WHITT SAUNDERS LMT

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	MA9894	FL

General Provider Information

NPI Number	:	1851617476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATSY WHITT SAUNDERS LMT

Provider Business Mailing Address
First Line	:	776 W MIDWAY RD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-4203
Country	:	US
Telephone Number	:	772-460-7999
Fax Number	:	772-460-7995

Provider Business Practice Location Address
First Line	:	776 W MIDWAY RD
Second Line	:
City	:	FORT PIERCE
State	:	FL
Zip	:	34982-4203
Country	:	US
Telephone Number	:	772-460-7999
Fax Number	:	772-460-7995

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

Provider Enumeration Date	:	04/08/2010
Last Update Date	:	04/08/2010

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