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NPI Code Detail

MEDICARE: KARIN WHITBECK L.M.T

MEDICARE:   KARIN  WHITBECK  L.M.T
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
1225700000XMassage TherapistMA 16850FL

General Provider Information

NPI Number : 1356552715
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARIN WHITBECK L.M.T
Provider Business Mailing Address
First Line : 100 MADRID BLVD UNIT 411
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-8929
Country : US
Telephone Number : 941-833-3344
Fax Number : 941-833-0328
Provider Business Practice Location Address
First Line : 100 MADRID BLVD UNIT 411
Second Line :
City : PUNTA GORDA
State : FL
Zip : 33950-8929
Country : US
Telephone Number : 941-833-3344
Fax Number : 941-833-0328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 07/08/2007

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