Phyllis Bittel

Individual provider Active NPI Massage Therapist · Palm City, FL

NPI 1346575933 · NPPES record last updated Oct 15, 2009

Key facts

NPI
1346575933
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA15809 (FL)
Practice address
1255 SW Thelma St
Palm City, FL 34990-3366
Phone
(772) 221-1673
Fax
(772) 221-1673
NPI assigned
Oct 15, 2009
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
MA15809FLMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA15809 FL Yes

Addresses

Primary practice location

1255 SW Thelma St
Palm City, FL 34990-3366

Mailing address

1255 SW Thelma St
Palm City, FL 34990-3366
Phone (772) 221-1673

Other providers in Palm City, FL

All providers in Palm City, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.