MEDICARE: CELESTE CHRISTINE MURPHY-PALUMBO 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
1	172M00000X	Mechanotherapist	MA56399	FL

General Provider Information

NPI Number	:	1376776989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CELESTE CHRISTINE MURPHY-PALUMBO L.M.T.

Provider Business Mailing Address
First Line	:	7114 LAUDER PL
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-1821
Country	:	US
Telephone Number	:	813-732-6223
Fax Number	:	813-985-4162

Provider Business Practice Location Address
First Line	:	12914 N 56TH ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33617-1226
Country	:	US
Telephone Number	:	813-988-7568
Fax Number	:

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

Provider Enumeration Date	:	08/30/2009
Last Update Date	:	08/30/2009

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