person
Ms. Katharine Fannon Summerlin, LMT
Massage Therapist in Tallahassee, Florida
NPI 1265601082

Katharine Fannon Summerlin is a Massage Therapist based in Tallahassee, FL. Katharine Fannon Summerlin practices in Tallahassee, FL and has the professional credentials of LMT. The NPI Number for Katharine Fannon Summerlin is 1265601082 and holds a License No. MA40605 (Florida).

The current practice location address for Katharine Fannon Summerlin is 1304 E 6Th Ave, Tallahassee, FL and can be reached out via phone at 850-508-4612 and via fax at 850-656-5589. You can also correspond with Katharine Fannon Summerlin through the mailing address at 1506 TWIN LAKES CIR, TALLAHASSEE, FL - 32311-4195 (mailing address contact number: 850-508-4612).

Location: 1304 E 6Th Ave, Tallahassee, FL, 32311-4195
person
Provider Profile Details
NPI Number
1265601082
Provider Name
Katharine Fannon Summerlin
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1304 E 6Th Ave, Tallahassee, FL, 32311-4195
Phone Number
850-508-4612
Fax Number
850-656-5589
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C3746 01 FL BLUECROSS / BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
1304 E 6Th Ave
City
State
Zip
32303-6506
Phone Number
850-508-4612
Fax Number
850-656-5589
person
Provider Business Mailing Address Details
Address
1304 E 6Th Ave
City
State
Zip
32303-6506
Phone Number
850-508-4612
Fax Number
850-656-5589
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA40605 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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