Rene Callanta, LMT
Individual provider Active NPI Massage Therapist · Edgewater, FL
NPI 1386078749 · NPPES record last updated Aug 21, 2013
Key facts
- NPI
- 1386078749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA69422 (FL)
- Practice address
- 315 N Ridgewood Ave
Edgewater, FL 32132-1617 - Phone
- (386) 427-8403
- Fax
- (386) 427-8410
- NPI assigned
- Aug 21, 2013
- 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 |
|---|---|---|---|
| MA69422 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA69422 | FL | Yes |
Addresses
Primary practice location
315 N Ridgewood Ave
Edgewater, FL 32132-1617
Mailing address
315 N Ridgewood Ave
Edgewater, FL 32132-1617
Phone (386) 427-8403
Other names
- Rene Ledoux
Other providers in Edgewater, FL
- Regina A. Blanke
- Todd Vincent Boicourt
- Brilliance Living Corporation
- Joshua Budvarson
- Anne Butler
- Larry Cameron
- Rebecca Cancilla
- Caring RX, LLC
- Susan Carrasquillo
- Dorothy Irene Cast
All providers in Edgewater, FL · Massage Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2013. 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.