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Carol Berry Todisco, LMT
Massage Therapist in Melbourne, Florida
NPI 1376742791

Carol Berry Todisco is a Massage Therapist based in Melbourne, FL. Carol Berry Todisco practices in Melbourne, FL and has the professional credentials of LMT. The NPI Number for Carol Berry Todisco is 1376742791 and holds a License No. 42074 (Florida).

The current practice location address for Carol Berry Todisco is 3084 Lake Washington Rd, Melbourne, FL and can be reached out via phone at 321-259-5056.

Location: 3084 Lake Washington Rd, Melbourne, FL, 32934-7613
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376742791
Provider Name
Carol Berry Todisco
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
3084 Lake Washington Rd, Melbourne, FL, 32934-7613
Phone Number
321-259-5056
Fax Number
Provider Enumeration Date
07/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42074 01 FL STATE OF FLORIDA DEPT OF
institution
Provider Business Practice Location Address Details
Address
3084 Lake Washington Rd
City
Melbourne
State
Florida
Zip
32934-7613
Phone Number
321-259-5056
Fax Number
person
Provider Business Mailing Address Details
Address
3084 Lake Washington Rd
City
Melbourne
State
Florida
Zip
32934-7613
Phone Number
321-259-5056
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
42074 (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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