Carol Berry Todisco in Melbourne - Massage Therapist
Carol Berry Todisco - NPI 1376742791
Carol Berry Todisco is a Massage Therapist in Melbourne, Florida. Carol Berry Todisco practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Carol Berry Todisco is 1376742791. The last update date is 2007-07-16.
Carol Berry Todisco's current location address is 3084 Lake Washington Rd, Melbourne, Florida. You can contact this provider via phone number 3212595056. The mailing address for Carol Berry Todisco is 3084 Lake Washington Rd, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Berry Todisco |
|---|---|
| Address | 3084 Lake Washington Rd, Melbourne, Florida |
| Phone Number | 3212595056 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1376742791 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 3084 Lake Washington Rd |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329347613 |
| Phone Number | 3212595056 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 42074 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42074 | FL | STATE OF FLORIDA DEPT OF |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carol Berry Todisco by the Centers for Medicare & Medicaid Services?
The Carol Berry Todisco has been issued the NPI (National Provider Identifier) 1376742791, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Carol Berry Todisco?
The Carol Berry Todisco is situated at 3084 Lake Washington Rd, in the city of Melbourne, state of FL, with the zip code 329347613.
What is Carol Berry Todisco's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carol Berry Todisco's specialized field of practice is Massage Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225700000X.
On what date did the Carol Berry Todisco receive its 1376742791 assignment from the Centers for Medicare & Medicaid Services?
The Carol Berry Todisco was assigned its 1376742791 by the Centers for Medicare & Medicaid Services on 2007-07-16.
When was the information pertaining to Carol Berry Todisco most recently updated or revised?
The details related to Carol Berry Todisco, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-16.
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