Individual provider · Type 1 NPI
Kerrye Jolynn Tabaczka, LMT
Massage Therapist · Maitland, FL
NPI number
1790967669
Active
Practice location
110 N Orlando Ave, Suite 14
Maitland, FL 32751-5574
Mailing address
275 E Pine Ave
Longwood, FL 32750-5282
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA47095 (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.
3 other providers at this address
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- Lisa M. Kirchner, LMTMassage Therapist Maitland, FL NPI 1508912825
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About NPI 1790967669
Kerrye Jolynn Tabaczka, LMT's National Provider Identifier is 1790967669, issued on Dec 3, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Maitland, FL. The record was last updated on Dec 3, 2007.