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
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA97342 (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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- Jackie Lynn Walsingham, LMTMassage Therapist Perry, FL NPI 1942472162
- Michelle D. Bethea, L.M.T.Massage Therapist Perry, FL NPI 1942520531
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.