MEDICARE: MRS. CAROLINE ELIZABETH RANKOVIC 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	18KT01439800	NJ

General Provider Information

NPI Number	:	1972223519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAROLINE ELIZABETH RANKOVIC MASSAGE THERAPIST

Provider Business Mailing Address
First Line	:	601 TOWN BANK RD FL 2
Second Line	:
City	:	NORTH CAPE MAY
State	:	NJ
Zip	:	08204-3519
Country	:	US
Telephone Number	:	609-365-0285
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 TOWN BANK RD FL 2
Second Line	:
City	:	NORTH CAPE MAY
State	:	NJ
Zip	:	08204-3519
Country	:	US
Telephone Number	:	609-365-0285
Fax Number	:

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

Provider Enumeration Date	:	09/01/2022
Last Update Date	:	09/01/2022

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