Individual provider · Type 1 NPI

Fredrick R. Bergen, LMT

Massage Therapist · Palatka, FL

NPI number 1750450722 Active

Practice location

120 S Palm Ave
Palatka, FL 32177-4140

Call (386) 325-3500 Map

Mailing address

251 Federal Point Rd
East Palatka, FL 32131-4329

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X46239 (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 1750450722

Fredrick R. Bergen, LMT's National Provider Identifier is 1750450722, issued on Nov 6, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Palatka, FL. The record was last updated on Jul 8, 2007.