Leonora T Stullken, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA9156 Issued in FL

Practice address

30570 17TH St
Big Pine Key, FL 33043

Phone

(305) 872-8915

NPI assigned

May 18, 2009

Last updated

May 18, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1184859308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430154",
            "city": "BIG PINE KEY",
            "state": "FL",
            "postal_code": "330430154",
            "telephone_number": "305-872-8915",
            "fax_number": "305-872-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30570 17TH ST",
            "city": "BIG PINE KEY",
            "state": "FL",
            "postal_code": "33043",
            "telephone_number": "305-872-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STULLKEN",
        "first_name": "LEONORA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA9156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Big Pine Key, FL
• Providers in Big Pine Key, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.