Lauren G Rosenberg, LMT,CKTP,CIMT
Individual provider Active NPI Massage Therapist · Lee, FL
NPI 1184840316 · NPPES record last updated Jun 5, 2016
Key facts
- NPI
- 1184840316
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA48808 (FL)
- Practice address
- 1679 NE Gooseberry St
Lee, FL 32059-4464 - Phone
- (727) 282-7148
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| MA48808 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA48808 | FL | Yes |
Addresses
Primary practice location
1679 NE Gooseberry St
Lee, FL 32059-4464
Mailing address
1679 NE Gooseberry St
Lee, FL 32059-4464
Phone (727) 282-7148
Other providers in Lee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2016. 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.