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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.

Location: 1304 E 6Th Ave, Tallahassee, FL, 32311-4195
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Tallahassee
State
Florida
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
Tallahassee
State
Florida
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
225700000X
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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