MEDICARE: MS. ARLENE AHNA EYRE 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	MA46270	FL

General Provider Information

NPI Number	:	1215169339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ARLENE AHNA EYRE LMT

Provider Business Mailing Address
First Line	:	6940 NW 173RD DR
Second Line	:	UNIT 803
City	:	HIALEAH
State	:	FL
Zip	:	33015-5538
Country	:	US
Telephone Number	:	305-557-9220
Fax Number	:

Provider Business Practice Location Address
First Line	:	18642 NW 67TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-2406
Country	:	US
Telephone Number	:	305-627-5515
Fax Number	:

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

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	08/24/2009

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