DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MYOFASCIAL THERAPY INC

MEDICARE: MYOFASCIAL THERAPY INC
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
1225X00000XOccupational TherapistOT 7400FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104967116
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYOFASCIAL THERAPY INC
Provider Business Mailing Address
First Line : 5691 NAPLES BLVD
Second Line :
City : NAPLES
State : FL
Zip : 34109-2023
Country : US
Telephone Number : 239-592-6100
Fax Number : 239-592-6156
Provider Business Practice Location Address
First Line : 5691 NAPLES BLVD
Second Line :
City : NAPLES
State : FL
Zip : 34109-2023
Country : US
Telephone Number : 239-592-6100
Fax Number : 239-592-6156
Authorized Official
Title or Position : PRESIDENT
Name : MS. MARY LYNN FELLENZ
Credential : OTR
Telephone Number : 239-592-6100
Provider Enumeration Date : 02/11/2007
Last Update Date : 10/24/2024

Similar Medicare Providers

1316940976 — RONALD E HOWARD JR. MD
Practice Location Address:
5671 NAPLES BLVD
NAPLES, FL
34109-2023
Practice Phone: 239-596-6904
Practice Fax: 239-596-6933
1740354828 — DR. TAMMY FRENCH D.C.
Practice Location Address:
5695 NAPLES BLVD
NAPLES, FL
34109-2023
Practice Phone: 239-598-2244
Practice Fax: 239-598-5035
1598810046 — WENDELL FELICIANO D.D.S.
Practice Location Address:
5659 NAPLES BLVD
NAPLES, FL
34109-2023
Practice Phone: 239-593-2178
Practice Fax: 239-213-1500
1851432868 — MARY LYNN FELLENZ OTR
Practice Location Address:
5691 NAPLES BLVD
NAPLES, FL
34109-2023
Practice Phone: 239-592-6100
Practice Fax: 239-592-6156
1194841437 — DR. KENNETH GERARD FRENCH D.C.
Practice Location Address:
5695 NAPLES BLVD
NAPLES, FL
34109-2023
Practice Phone: 239-598-2244
Practice Fax: 239-598-5035
1063639508 — DR. THOMAS EDWARD ALBERT JR. D.M.D
Practice Location Address:
5641 NAPLES BLVD
NAPLES, FL
34109-2023
Practice Phone: 230-592-6300
Practice Fax: 239-592-6597

Directions to “MYOFASCIAL THERAPY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.