Joyce Leigh Johnson Norman, LMT
Individual provider Active NPI Mechanotherapist · Starke, FL
NPI 1972743516 · NPPES record last updated Feb 23, 2009
Key facts
- NPI
- 1972743516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mechanotherapist 172M00000X
- License
- MA55393 (FL)
- Practice address
- 722 W Madison St
Starke, FL 32091-3013 - Phone
- (904) 964-5703
- NPI assigned
- Feb 23, 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
| License | State | Type | Specialty |
|---|---|---|---|
| MA55393 | FL | MD | Mechanotherapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA55393 | FL | Yes |
Addresses
Primary practice location
722 W Madison St
Starke, FL 32091-3013
Mailing address
722 W Madison St
Starke, FL 32091-3013
Phone (904) 964-5703
Other providers in Starke, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2009. 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.