Heidi Karen Kulas, LMT

Individual provider Active NPI Massage Therapist · Bradenton, FL

NPI 1144800384 · NPPES record last updated Apr 12, 2021

Key facts

NPI
1144800384
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA37230 (FL)
Practice address
3812 64TH St W
Bradenton, FL 34209-7653
Phone
(941) 526-4465
NPI assigned
Apr 12, 2021
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

LicenseStateTypeSpecialty
MA37230FLMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA37230 FL Yes

Addresses

Primary practice location

3812 64TH St W
Bradenton, FL 34209-7653

Mailing address

3812 64TH St W
Bradenton, FL 34209-7653
Phone (941) 526-4465

Other providers in Bradenton, FL

All providers in Bradenton, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.