MEDICARE: MS. TRACI MICHELLE RAPINI 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	225700000X	Massage Therapist	MA39539	FL

General Provider Information

NPI Number	:	1740298306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TRACI MICHELLE RAPINI L.M.T.

Provider Business Mailing Address
First Line	:	7605 ROCKPORT CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7307
Country	:	US
Telephone Number	:	561-642-5040
Fax Number	:	561-969-0311

Provider Business Practice Location Address
First Line	:	7605 ROCKPORT CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-7307
Country	:	US
Telephone Number	:	561-642-5040
Fax Number	:	561-969-0311

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

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/08/2007

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