Healthcare Provider Details

I. General information

NPI: 1669303442
Provider Name (Legal Business Name): COURTNEY RUMSEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KEATAN RUMSEY

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4205 SW 38TH CT STE 101
OCALA FL
34474-9293
US

IV. Provider business mailing address

2115 NE 58TH ST
OCALA FL
34479-7123
US

V. Phone/Fax

Practice location:
  • Phone: 231-769-6692
  • Fax:
Mailing address:
  • Phone: 231-769-6692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA106793
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: