Individual provider · Type 1 NPI

Carolyn K. Street, LMT

Massage Therapist · Weeki Wachee, FL

NPI number 1508084393 Active

Practice location

6226 Commercial Way
Weeki Wachee, FL 34613-6325

Fax (352) 597-2809

Mailing address

12257 Peaceful Ave
Weeki Wachee, FL 34614-1906

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA17146 (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 1508084393

Carolyn K. Street, LMT's National Provider Identifier is 1508084393, issued on Apr 24, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Weeki Wachee, FL. The record was last updated on Jul 8, 2007.