Kerrye Jolynn Tabaczka in Longwood - Massage Therapist
Kerrye Jolynn Tabaczka - NPI 1790967669
Kerrye Jolynn Tabaczka is a Massage Therapist in Longwood, Florida. Kerrye Jolynn Tabaczka practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Kerrye Jolynn Tabaczka is 1790967669. The last update date is 2007-12-03.
Kerrye Jolynn Tabaczka's current location address is 275 E Pine Ave, Longwood, Florida. You can contact this provider via phone number 4076948102 and fax number 4076448184. The mailing address for Kerrye Jolynn Tabaczka is 275 E Pine Ave, Longwood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerrye Jolynn Tabaczka |
|---|---|
| Address | 275 E Pine Ave, Longwood, Florida |
| Phone Number | 4076948102 |
| Fax Number | 4076448184 |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1790967669 |
|---|---|
| Provider Enumeration Date | 2007-12-03 |
| Last Updated Date | 2007-12-03 |
Provider Mailing Address Detail
| Address | 275 E Pine Ave |
|---|---|
| City | Longwood |
| State | Florida (FL) |
| Post Code | 327505282 |
| Phone Number | 4076948102 |
| Fax Number | 4076448184 |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | MA47095 |
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Definition: 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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What is the Kerrye Jolynn Tabaczka's unique identification number?
The Kerrye Jolynn Tabaczka has been assigned the NPI (National Provider Identifier) Number 1790967669 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Kerrye Jolynn Tabaczka is geographically located?
The Kerrye Jolynn Tabaczka is physically situated at the following location: 275 E Pine Ave, Longwood, FL, 327505282.
What is Kerrye Jolynn Tabaczka's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kerrye Jolynn Tabaczka is Massage Therapist, and the taxonomy classification code that categorizes this area of expertise is 225700000X.
On what date did Kerrye Jolynn Tabaczka receive its 1790967669 assignment from the Centers for Medicare & Medicaid Services?
The Kerrye Jolynn Tabaczka was assigned its 1790967669 on 2007-12-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kerrye Jolynn Tabaczka most recently updated?
The details pertaining to the Kerrye Jolynn Tabaczka, including its address, specialty, and other relevant information, were last refreshed on 2007-12-03.