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General NPI Number Information
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NPI Number | 1710359146
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Entity Type | Organization
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Legal Business Name | CARISSA RESSLER LLC
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Dates
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Enumeration Date | 10/26/2015
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Last Update Date | 10/26/2015
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Provider Practice Location Address
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Address Line | 8 EAST HIGH STREET
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022
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Country | US
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Telephone | 717-617-7779
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Fax |
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Provider Business Mailing Address
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Address Line | 8 EAST HIGH STREET
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022
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Country | US
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Telephone | 717-617-7779
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CARISSA J RESSLER
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Credential | LMT, CPT, CIMTI
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Telephone | 717-824-6428
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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 | MSG005108
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG008533
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG005928
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG010099
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MSG000868
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License Number State | PA
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