MEDICARE: ADVANCED MASSAGE THERAPY

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	261Q00000X	Clinic/Center	MA29366	FL

General Provider Information

NPI Number	:	1194911248
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MASSAGE THERAPY

Provider Business Mailing Address
First Line	:	2217 S FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-3508
Country	:	US
Telephone Number	:	954-767-0095
Fax Number	:

Provider Business Practice Location Address
First Line	:	2217 S FEDERAL HWY
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-3508
Country	:	US
Telephone Number	:	954-767-0095
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARIE CLESSIE JEAN-JOSEPH
Credential	:
Telephone Number	:	954-732-4719

Provider Enumeration Date	:	09/22/2007
Last Update Date	:	09/22/2007

Similar Medicare Providers

1982633673 — LIFECHANGING COUNSELING PA
Practice Location Address:

6237 PRESIDENTIAL CT STE 110
FORT MYERS, FL
33919-3508

Practice Phone: 239-243-8098
Practice Fax: 239-482-5335

1043414782 — NORTH FLORIDA PHARMACY OF FORT WHITE INC
Practice Location Address:

7729 SW US HIGHWAY 27
FORT WHITE, FL
32038-3508

Practice Phone: 386-497-2580
Practice Fax: 386-497-4227

1407020092 — JUDITH ANNETTE ANDERSON LMHC
Practice Location Address:

6237 PRESIDENTIAL CT STE B
FORT MYERS, FL
33919-3508

Practice Phone: 239-433-1211
Practice Fax: 239-482-5335

1578737417 — MRS. PATRICIA K DISERIO M.S.
Practice Location Address:

6237 PRESIDENTIAL CT STE B
FORT MYERS, FL
33919-3508

Practice Phone: 239-433-1211
Practice Fax: 239-482-5335

1427222306 — MARY-KATHERINE DAVIDSON-TAYLOR M.S. OTR/L
Practice Location Address:

3508 FORT HILL DR
ALEXANDRIA, VA
22310-2105

Practice Phone: 703-862-6557
Practice Fax: 703-329-1187

1164756672 — KIDZ THERAPY, LLC
Practice Location Address:

3508 FORT HILL DR
ALEXANDRIA, VA
22310-2105

Practice Phone: 703-862-6557
Practice Fax:

Directions to “ADVANCED MASSAGE THERAPY ” 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.