MEDICARE: JOANN M FEKANY 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	MA9876	FL

General Provider Information

NPI Number	:	1962523936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANN M FEKANY LMT

Provider Business Mailing Address
First Line	:	12110 POPPY FIELD LN
Second Line	:	APT 110
City	:	ORLANDO
State	:	FL
Zip	:	32837-7635
Country	:	US
Telephone Number	:	407-651-1888
Fax Number	:

Provider Business Practice Location Address
First Line	:	12110 POPPY FIELD LN
Second Line	:	APT 110
City	:	ORLANDO
State	:	FL
Zip	:	32837-7635
Country	:	US
Telephone Number	:	407-651-1888
Fax Number	:

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	07/08/2007

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