Ketresia Hilton, LMT, CMLDT
Individual provider Active NPI Massage Therapist · Mascotte, FL
NPI 1891444394 · NPPES record last updated Mar 22, 2022
Key facts
- NPI
- 1891444394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA98376 (FL)
- Practice address
- 1122 Union Ave
Mascotte, FL 34753-9532 - Phone
- (267) 290-7223
- NPI assigned
- Mar 22, 2022
- 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 |
|---|---|---|---|
| MA98376 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA98376 | FL | Yes |
Addresses
Primary practice location
1122 Union Ave
Mascotte, FL 34753-9532
Mailing address
1122 Union Ave
Mascotte, FL 34753-9532
Phone (267) 290-7223
Other providers in Mascotte, FL
- Tammy Fernandez
- Grace'S Support Services, LLC
- HCP of Central Florida, Inc.
- Helens West Inc.
- Eric J Henry
- Humble Healings, LLC
- Jonesha Lafong
- Life Change Outreach Organization
- Life Change Outreach Organization, Inc
- Life Change Outreach Organization, Inc
All providers in Mascotte, 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 Mar 22, 2022. 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.