Katherine Jankowski
Individual provider Active NPI Massage Therapist · Flagler Beach, FL
NPI 1972901908 · NPPES record last updated Jun 28, 2021
Key facts
- NPI
- 1972901908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA76395 (FL)
- Practice address
- 2561 Moody Blvd Ste 100
Flagler Beach, FL 32136-4404 - Phone
- (386) 569-5972
- Fax
- (386) 693-4308
- NPI assigned
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| MA76395 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kitty Den | Massage Therapist | Current |
Accepting new patients |
Locations
2561 Moody Blvd
Ste 100
Flagler Beach, FL 32136
Phone (386) 264-0852
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA76395 | FL | Yes |
Addresses
Primary practice location
2561 Moody Blvd Ste 100
Flagler Beach, FL 32136-4404
Mailing address
2561 Moody Blvd Ste 100
Flagler Beach, FL 32136-4404
Phone (386) 569-5972
Other providers in Flagler Beach, FL
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- Kelley Holladay
- Susan M Horwath
- Inc Infusion
- Integrity Behavioral & Coaching Solutions, LLC
- Ronda Jo Jarvis
- Jennifer Tipton, LLC
- Jennifer Johnson
- Mark Leslie Johnson
- Sarah Jones
All providers in Flagler Beach, 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 Jun 28, 2021. 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.