NPI 1043592843

Caroline Paula Moody, MASSAGETHERAPIST

Practitioner Mechanotherapist Lake Butler, FL

Practice location

Address: 5800 SW 53rd St, Lake Butler, FL 32054-5316
Phone: (386) 496-2023
Fax: (386) 496-2023

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA58462 (FL)

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Registry record

NPI: 1043592843
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2011
Record last updated: 16 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.