Individual provider · Type 1 NPI
Caroline Pamela Potter, LMT
Massage Therapist · St. Petersburg, FL
NPI number
1104153758
Active
Practice location
3160 5th Ave N, Suite 135
St. Petersburg, FL 33713-7630
Fax (727) 327-2644
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA 56117 (FL) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1104153758
Caroline Pamela Potter, LMT's National Provider Identifier is 1104153758, issued on Nov 3, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 3, 2009.