Elizabeth Carpenter

Individual provider Active NPI Massage Therapist · Palmetto, FL

NPI 1245907138 · NPPES record last updated Aug 27, 2021

Key facts

NPI
1245907138
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA55585 (FL)
Practice address
417 10TH Ave W
Palmetto, FL 34221-5031
Phone
(407) 508-0082
NPI assigned
Aug 27, 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
MA55585FLMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA55585 FL Yes

Addresses

Primary practice location

417 10TH Ave W
Palmetto, FL 34221-5031

Mailing address

4408 7TH St E
Ellenton, FL 34222-2436
Phone (407) 508-0082

Other providers in Palmetto, FL

All providers in Palmetto, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.