Individual provider · Type 1 NPI

Kenneth Edwin Muck, LMT

Massage Therapist · Melbourne, FL

NPI number 1548547367 Active

Practice location

1490 Avocado Ave
Melbourne, FL 32935-6532

Call (321) 252-5253 Map

Fax (888) 372-9707

Mailing address

1987 Wallace Ave
Melbourne, FL 32935-3963

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA29049 (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 1548547367

Kenneth Edwin Muck, LMT's National Provider Identifier is 1548547367, issued on Nov 8, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Melbourne, FL. The record was last updated on Nov 8, 2011.