Marcy M Bertling, LMT
Individual provider Active NPI Massage Therapist · Crestview, FL
NPI 1083808091 · NPPES record last updated Sep 3, 2007
Key facts
- NPI
- 1083808091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 49778 (FL)
- Practice address
- 101 Duggan Ave
Crestview, FL 32536-4812 - Phone
- (850) 689-2260
- NPI assigned
- Sep 3, 2007
- 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 |
|---|---|---|---|
| 49778 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 49778 | FL | Yes |
Addresses
Primary practice location
101 Duggan Ave
Crestview, FL 32536-4812
Mailing address
5317 Whitney CT
Crestview, FL 32536-2212
Phone (850) 682-8051
Other providers in Crestview, FL
- Belfiore Wellness Center
- Jessica Danielle Belford
- Jasmine Bennett
- Christina Sledge Berry
- Tinishia Nicole Berry
- Terumi Best
- Beyond Expectations Inc.
- Heather T Bien
- Austin C. Black
- Emily Claire Blackmon
All providers in Crestview, FL · Massage Therapist 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 3, 2007. 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.