MEDICARE: MARY E ETSEN 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
1	225700000X	Massage Therapist	MA 37226	FL

General Provider Information

NPI Number	:	1922114719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY E ETSEN MASSAGE THERAPIST

Provider Business Mailing Address
First Line	:	17 BIMINI CIR
Second Line	:
City	:	SEBASTIAN
State	:	FL
Zip	:	32958-6921
Country	:	US
Telephone Number	:	772-388-4762
Fax Number	:	772-589-0532

Provider Business Practice Location Address
First Line	:	2140 10TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5377
Country	:	US
Telephone Number	:	772-532-6735
Fax Number	:

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1144966227 — LEGACY HEALTHCARE SERVICES INC
Practice Location Address:

2100 10TH AVE
VERO BEACH, FL
32960-5377

Practice Phone: 855-239-3467
Practice Fax:

1467173229 — CARIE M CIMINO
Practice Location Address:

2100 10TH AVE
VERO BEACH, FL
32960-5377

Practice Phone: 772-562-8491
Practice Fax:

1780306068 — ALYSSA LOR'EN REAVER
Practice Location Address:

2100 10TH AVE
VERO BEACH, FL
32960-5377

Practice Phone: 772-562-8491
Practice Fax:

1497858567 — HEATHER N LAING OT
Practice Location Address:

5377 STEWART DR
VIRGINIA BEACH, VA
23464-7837

Practice Phone: 518-469-8119
Practice Fax:

1043319668 — SONUS-USA, INC.
Practice Location Address:

13922 SEAL BEACH BLVD STE B
SEAL BEACH, CA
90740-5377

Practice Phone: 562-431-1512
Practice Fax:

1396780037 — PATRICK M CLOUD MD
Practice Location Address:

1325 36TH ST STE B
VERO BEACH, FL
32960-6599

Practice Phone: 772-778-3113
Practice Fax:

Directions to “ MARY E ETSEN MASSAGE THERAPIST” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.