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Mr. Fredrick R Bergen, LMT
Massage Therapist in Palatka, Florida
NPI 1750450722

Fredrick R Bergen is a Massage Therapist based in East Palatka, FL. Fredrick R Bergen practices in Palatka, FL and has the professional credentials of LMT. The NPI Number for Fredrick R Bergen is 1750450722 and holds a License No. 46239 (Florida).

The current practice location address for Fredrick R Bergen is 120 S Palm Ave, Palatka, FL and can be reached out via phone at 386-325-3500.

Location: 120 S Palm Ave, Palatka, FL, 32131-4329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750450722
Provider Name
Fredrick R Bergen
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
120 S Palm Ave, Palatka, FL, 32131-4329
Phone Number
386-325-3500
Fax Number
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
120 S Palm Ave
City
Palatka
State
Florida
Zip
32177-4140
Phone Number
386-325-3500
Fax Number
person
Provider Business Mailing Address Details
Address
120 S Palm Ave
City
Palatka
State
Florida
Zip
32177-4140
Phone Number
386-325-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
46239 (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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