Theresa Lynn McGinty, LMT
Individual provider Active NPI Massage Therapist · Bronson, FL
NPI 1992086136 · NPPES record last updated Sep 1, 2011
Key facts
- NPI
- 1992086136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA0021755 (FL)
- Practice address
- 310 Main Ave
Bronson, FL 32621-6610 - Phone
- (352) 486-2003
- NPI assigned
- Sep 1, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| MA0021755 | FL | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA0021755 | FL | Yes |
Addresses
Primary practice location
310 Main Ave
Bronson, FL 32621-6610
Mailing address
310 Main Ave
Bronson, FL 32621-6610
Phone (352) 486-2003
Other providers in Bronson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2011. 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.