Svetlana Gendelman
Individual provider Active NPI Massage Therapist · Holiday, FL
NPI 1144589508 · NPPES record last updated May 4, 2012
Key facts
- NPI
- 1144589508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 41189 (FL)
- Practice address
- 1621 Doubloon Dr
Holiday, FL 34690-6121 - Phone
- (727) 459-8196
- NPI assigned
- May 4, 2012
- 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 |
|---|---|---|---|
| 41189 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 41189 | FL | Yes |
Addresses
Primary practice location
1621 Doubloon Dr
Holiday, FL 34690-6121
Mailing address
1621 Doubloon Dr
Holiday, FL 34690-6121
Other providers in Holiday, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2012. 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.