MEDICARE: MS. DANA M DUSKIN 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	2977	AL

General Provider Information

NPI Number	:	1013254572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA M DUSKIN LMT

Provider Business Mailing Address
First Line	:	3322 MEMORIAL PKWY SW
Second Line	:	STE 623
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5335
Country	:	US
Telephone Number	:	256-604-6608
Fax Number	:

Provider Business Practice Location Address
First Line	:	3322 MEMORIAL PKWY SW
Second Line	:	STE 623
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-5335
Country	:	US
Telephone Number	:	256-604-6608
Fax Number	:

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

Provider Enumeration Date	:	01/03/2013
Last Update Date	:	01/03/2013

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