Individual provider · Type 1 NPI

Charlene Diane Haines, LMT

Massage Therapist · Seminole, FL

NPI number 1861517757 Active

Practice location

6915 113th St
Seminole, FL 33772-6221

Mailing address

PO Box 8628
Seminole, FL 33775-8628

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA38278 (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 1861517757

Charlene Diane Haines, LMT's National Provider Identifier is 1861517757, issued on Mar 20, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Seminole, FL. The record was last updated on Jul 8, 2007.