Betty Jean Burnett, LMT
Individual provider Active NPI Massage Therapist · Melrose, FL
NPI 1255645784 · NPPES record last updated Jul 26, 2010
Key facts
- NPI
- 1255645784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA33800 (FL)
- Practice address
- 5998 Centre St
Ste F
Melrose, FL 32666-6208 - Phone
- (904) 263-8008
- Fax
- (352) 475-1013
- NPI assigned
- Jul 26, 2010
- 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 |
|---|---|---|---|
| MA33800 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA33800 | FL | Yes |
Addresses
Primary practice location
5998 Centre St
Ste F
Melrose, FL 32666-6208
Mailing address
3306 NE County Road 219a
Melrose, FL 32666-6006
Phone (904) 263-8008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1845 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
Other providers in Melrose, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2010. 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.