Individual provider · Type 1 NPI
Mary Christine Knepton, LMT
Specialist · St. Augustine, FL
NPI number
1710103692
Active
Practice location
1965 Old Moultrie Rd
St. Augustine, FL 32086-5164
Mailing address
624 Frances Ave
St. Augustine, FL 32086-5479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MM18553 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1710103692
Mary Christine Knepton, LMT's National Provider Identifier is 1710103692, issued on Apr 18, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Augustine, FL. The record was last updated on Jul 8, 2007.