Penny Ann Testerman, LMT
Individual provider Active NPI Massage Therapist · Weirsdale, FL
NPI 1528847985 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1528847985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 66582 (FL)
- Practice address
- 16811 SE 142ND CT
Weirsdale, FL 32195-2541 - Phone
- (540) 871-2140
- NPI assigned
- Sep 25, 2023
- 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 |
|---|---|---|---|
| 66582 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 66582 | FL | Yes |
Addresses
Primary practice location
16811 SE 142ND CT
Weirsdale, FL 32195-2541
Mailing address
720 N US Hwy 441 # 1106
Lady Lake, FL 32159-3194
Phone (540) 871-2140
Other providers in Weirsdale, FL
- Kyaw Zin Minn
- Judith Mae Moorehead
- William Franklin Moorehead
- Amanda Jean Purdum
- Essam Saad
- Weirsdale Family Health Center Inc
All providers in Weirsdale, 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 Sep 25, 2023. 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.