Individual provider · Type 1 NPI

Carolyn Mudgette, MASSAGE THERAPIST

Massage Therapist · St. Augustine, FL

NPI number 1124171277 Active

Practice location

2180 A1A S, Suite 203
St. Augustine, FL 32080-6591

Call (904) 461-5699 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA23802 MM11941 (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 1124171277

Carolyn Mudgette, MASSAGE THERAPIST's National Provider Identifier is 1124171277, issued on Jan 20, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 8, 2007.