Individual provider · Type 1 NPI

Evalena Kaye Mock, LMT

Massage Therapist · Perry, FL

NPI number 1851179725 Active

Practice location

1304 S Jefferson St
Perry, FL 32348-4731

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA97342 (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 1851179725

Evalena Kaye Mock, LMT's National Provider Identifier is 1851179725, issued on Sep 20, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Perry, FL. The record was last updated on Sep 20, 2023.