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NPI Code Detail

MEDICARE: MRS. CHRISTINA MARIE WORTS LAT, ATC, LMT

MEDICARE:  MRS. CHRISTINA MARIE WORTS  LAT, ATC, 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
1225700000XMassage TherapistMA 61245FL
22255A2300XAthletic TrainerAL #2679FL

General Provider Information

NPI Number : 1760787410
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA MARIE WORTS LAT, ATC, LMT
Provider Business Mailing Address
First Line : 2301 HAVERHILL RD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32312-3717
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2447 MILL CREEK CT STE 4
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-8301
Country : US
Telephone Number : 813-331-5515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2011
Last Update Date : 04/30/2024

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Directions to “ MRS. CHRISTINA MARIE WORTS LAT, ATC, LMT” Practice Location

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