MEDICARE: KAREN MARIE RUMER 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	MA36080	FL

General Provider Information

NPI Number	:	1154409563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN MARIE RUMER LMT

Provider Business Mailing Address
First Line	:	613 SABAL LAKE DR APT 205
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-6046
Country	:	US
Telephone Number	:	407-346-5646
Fax Number	:

Provider Business Practice Location Address
First Line	:	613 SABAL LAKE DR APT 205
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-6046
Country	:	US
Telephone Number	:	407-346-5646
Fax Number	:

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

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