Caroline Paula Moody, MASSAGE THERAPIST
Individual provider Active NPI Mechanotherapist · Lake Butler, FL
NPI 1043592843 · NPPES record last updated Sep 16, 2011
Key facts
- NPI
- 1043592843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mechanotherapist 172M00000X
- License
- MA58462 (FL)
- Practice address
- 5800 SW 53Rd St
Lake Butler, FL 32054-5316 - Phone
- (386) 496-2023
- Fax
- (386) 496-2023
- NPI assigned
- Sep 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA58462 | FL | MD | Mechanotherapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA58462 | FL | Yes |
Addresses
Primary practice location
5800 SW 53Rd St
Lake Butler, FL 32054-5316
Mailing address
5800 SW 53Rd St
Lake Butler, FL 32054-5316
Phone (386) 496-2023
Other providers in Lake Butler, FL
- Medlink Management Services Inc
- Medlink Management Services Inc
- Medlink Management Services Inc
- Meridian Behavioral Healthcare
- Meridian Behavioral Healthcare, Inc.
- Kevin Nantz
- Ashley C Nelson
- New River Community Health Care, Inc
- Gloria Lynn Niquette
- North Florida Medical Corp.
All providers in Lake Butler, FL · Mechanotherapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.