MEDICARE: MRS. MELINDA CASTILLO KARPENSKI 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	MT039889	TX

General Provider Information

NPI Number	:	1518669829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELINDA CASTILLO KARPENSKI LMT

Provider Business Mailing Address
First Line	:	4825 EVERHART RD STE 2
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-2765
Country	:	US
Telephone Number	:	361-884-9191
Fax Number	:	361-884-9192

Provider Business Practice Location Address
First Line	:	4825 EVERHART RD STE 2
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78411-2765
Country	:	US
Telephone Number	:	361-884-9191
Fax Number	:	361-884-9192

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

Provider Enumeration Date	:	03/20/2023
Last Update Date	:	03/20/2023

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