MEDICARE: TARASHEKA DAVIS 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	MA72971	FL

General Provider Information

NPI Number	:	1619855061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARASHEKA DAVIS LMT

Provider Business Mailing Address
First Line	:	3045 CUMLER CT
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32811-5602
Country	:	US
Telephone Number	:	407-575-5679
Fax Number	:

Provider Business Practice Location Address
First Line	:	7635 ASHLEY PARK CT STE 505
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-6196
Country	:	US
Telephone Number	:	407-930-2103
Fax Number	:

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

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

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