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NPI Code Detail

MEDICARE: JANICE LEE RUMMELHOFF MASSAGE THERAPIST

MEDICARE: JANICE LEE RUMMELHOFF MASSAGE THERAPIST
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
1174400000XSpecialistMA12851FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MA12851OTHERFLMASSAGE THERAPIST

General Provider Information

NPI Number : 1629352703
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE LEE RUMMELHOFF MASSAGE THERAPIST
Provider Business Mailing Address
First Line : 671 NW 119TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33168-2522
Country : US
Telephone Number : 305-688-7416
Fax Number : 305-403-0664
Provider Business Practice Location Address
First Line : 671 NW 119TH ST
Second Line :
City : NORTH MIAMI
State : FL
Zip : 33168-2522
Country : US
Telephone Number : 305-688-7416
Fax Number : 305-403-0664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 10/06/2011

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Directions to “ JANICE LEE RUMMELHOFF MASSAGE THERAPIST” Practice Location

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