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General NPI Number Information
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NPI Number | 1386564110
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Entity Type | Individual
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Provider Name | KRISTIN COVEL WOMER LMT
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 134 PILGRIM WAY
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City | BRODHEADSVILLE
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State | PA
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Zip | 18322-7749
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Country | US
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Telephone | 570-218-5918
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 LAKESIDE DR
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City | EFFORT
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State | PA
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Zip | 18330-2151
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Country | US
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Telephone | 570-218-5918
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG016517
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License Number State | PA
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