Healthcare Provider Details

I. General information

NPI: 1659288389
Provider Name (Legal Business Name): TINA MACCARTNEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7088 MARINER BLVD
SPRING HILL FL
34609-1046
US

IV. Provider business mailing address

565 SWALLOW LN
SPRING HILL FL
34606-5859
US

V. Phone/Fax

Practice location:
  • Phone: 352-596-7887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA104887
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: