Individual provider · Type 1 NPI
Charlene Coleman, LMT
Massage Therapist · Leesburg, FL
NPI number
1295020899
Active
Practice location
27405 US Highway 27 Ste 115
Leesburg, FL 34748-7914
Fax (352) 343-7577
Mailing address
PO Box 40
Tavares, FL 32778-0040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA24707 (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 1295020899
Charlene Coleman, LMT's National Provider Identifier is 1295020899, issued on Jun 13, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Leesburg, FL. The record was last updated on Jun 13, 2011.