MRS. KERRYE JOLYNN TABACZKA


Address: 110 N Orlando Ave, Suite 14, Maitland, FL 32751-5574
Phone: 4076471997

MRS. KERRYE JOLYNN TABACZKA (NPI# 1790967669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790967669
Entity Type Individual
Full Name MRS. KERRYE JOLYNN TABACZKA
Credential LMT
Practice Address 110 N Orlando Ave
Suite 14
Maitland
FL 32751-5574
Mailing Address 275 E Pine Ave
Longwood
FL 32750-5282
Practice Telephone 4076471997
Mailing Telephone 4076948102
Mailing Fax Number 4076448184
Enumeration Date 2007-12-03
Last Update Date 2007-12-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA47095 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 110 N ORLANDO AVE
SUITE 14
City MAITLAND
State FL
Zip Code 32751-5574

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427455369 Amy White Acupuncturist 110 N Orlando Ave, Suite 3, Maitland, FL 32751-5574 2014-11-20
1194020065 Terisa Bay Russell Massage Therapist 110 N Orlando Ave, Maitland, FL 32751-5574 2011-01-24
1447427281 Michael A Johnson Hearing Instrument Specialist 110 N Orlando Ave, Suite 7, Maitland, FL 32751-5574 2008-05-12

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1699309518 Karin Scotchie Occupational Therapist 1700 Monroe Rd, Maitland, FL 32751 2020-02-29
1184255929 Counseling Specialists, Inc. Counselor 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 2020-01-30
1427528074 Auricular Health Center Clinic/Center 237 Lookout Place, Maitland, FL 32751 2018-11-27
1710456181 Yadiel Munoz Counselor 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 2018-11-15
1780152678 Rebecca Hernandez Case Manager/Care Coordinator 1000 Winderley Pl Unit 221, Maitland, FL 32751 2018-11-08
1548742901 David Cromer Social Worker 225 S. Swoope Ave #211, Maitland, FL 32751 2018-09-02
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841899689 Haley Medlock Massage Therapist 826 Maple Ct, Maitland, FL 32751-6356 2020-10-22
1669079653 Jamie Beverly Massage Therapist 1116 Grove St, Maitland, FL 32751-6318 2020-10-03
1588186860 Andrea Gonsalves Massage Therapist 1985 Howell Branch Rd, Maitland, FL 32751-5901 2017-07-08
1881058998 Xuong Vong Massage Therapist 9301 Summit Centre Way, Maitland, FL 32810 2016-04-06
1629403811 Emer Ann Farrelly Massage Therapist 1528 East Blvd, Maitland, FL 32751-3540 2013-09-06
1528284494 Faith Renee Buhler Massage Therapist 549 N Wymore Rd, Suite 209, Maitland, FL 32751-4203 2007-04-18
1245379627 Waldemar Kogan Massage Therapist 467 Lake Howell Rd, Suite 103, Maitland, FL 32751-5922 2007-02-05
1508912825 Lisa M Kirchner Massage Therapist 1780 N Park Ave, Maitland, FL 32751-6500 2007-01-27
1124636212 Ag Massage & Bodywork LLC Massage Therapist 1985 Howell Branch Rd, Maitland, FL 32751-5901 2020-07-15
1346723624 Jennifer Denise Pollard Massage Therapist 237 Lookout Pl, Maitland, FL 32751-8433 2018-09-12
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Competitor

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City MAITLAND
Zip Code 32751

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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