Mary A Futch, LMT

Individual provider Active NPI Massage Therapist · Umatilla, FL

NPI 1730406802 · NPPES record last updated Apr 28, 2010

Key facts

NPI
1730406802
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA44823 (FL)
Practice address
41444 SR19
Unit 2
Umatilla, FL 32784
Phone
(352) 771-5922
NPI assigned
Apr 28, 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

LicenseStateTypeSpecialty
MA44823FLMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA44823 FL Yes

Addresses

Primary practice location

41444 SR19
Unit 2
Umatilla, FL 32784

Mailing address

41444 SR19
Unit 2
Umatilla, FL 32784
Phone (352) 771-5922

Other providers in Umatilla, FL

All providers in Umatilla, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.