Individual provider · Type 1 NPI

Kathleen Marie Tanner, LMT, LPN

Massage Therapist · Palatka, FL

NPI number 1487979126 Active

Practice location

2312 Crill Ave, Suite 1B
Palatka, FL 32177-4828

Mailing address

PO Box 13
Palatka, FL 32178-0013

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA55691 (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 1487979126

Kathleen Marie Tanner, LMT, LPN's National Provider Identifier is 1487979126, issued on Apr 6, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Palatka, FL. The record was last updated on Apr 6, 2010.