MEDICARE: HENRIK EDGAR MARTENSON

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	MA61745	FL

General Provider Information

NPI Number	:	1174812150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HENRIK EDGAR MARTENSON

Provider Business Mailing Address
First Line	:	1300 CONRAD DR
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-5835
Country	:	US
Telephone Number	:	305-849-1604
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 CONRAD DR
Second Line	:
City	:	NEW SMYRNA BEACH
State	:	FL
Zip	:	32168-5835
Country	:	US
Telephone Number	:	305-849-1604
Fax Number	:

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

Provider Enumeration Date	:	03/30/2011
Last Update Date	:	03/30/2011

Similar Medicare Providers

1619758729 — ADILU SUSANA VIERA SENRA
Practice Location Address:

1040 NE 153RD TER
NORTH MIAMI BEACH, FL
33162-5835

Practice Phone: 305-733-0097
Practice Fax:

1376580266 — KIMWELL HEALTHCARE LLC
Practice Location Address:

495 NEW BOSTON RD
FALL RIVER, MA
02720-5835

Practice Phone: 508-679-0106
Practice Fax: 508-674-1570

1932136504 — MR. BRIAN E HOOKER ATC/L
Practice Location Address:

5835 WYOMING AVE
NEW PORT RICHEY, FL
34652-2860

Practice Phone: 727-946-1290
Practice Fax:

1699792531 — DR. LEONARD BAKALCHUK M.D.
Practice Location Address:

220 E 42ND ST FL 7
NEW YORK, NY
10017-5835

Practice Phone: 212-609-1920
Practice Fax:

1023132891 — SHELLY A MCCANN COTA
Practice Location Address:

495 NEW BOSTON RD
FALL RIVER, MA
02720-5835

Practice Phone: 508-679-0106
Practice Fax: 508-674-1570

1174647606 — MRS. SONIA MARIE PEREIRA COTA
Practice Location Address:

495 NEW BOSTON RD
FALL RIVER, MA
02720-5835

Practice Phone: 508-679-0106
Practice Fax:

Directions to “ HENRIK EDGAR MARTENSON ” 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 © 2007-2026 (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.