Carolyn Mudgette, MASSAGE THERAPIST
NPI #1124171277 in St Augustine, Florida
Provider Information
- NPI Number
- 1124171277
- Entity Type
- Individual
- Name
- Carolyn Mudgette, MASSAGE THERAPIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- MASSAGE THERAPIST
- Enumeration Date
- Jan 20, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2180 A1A S
- Address 2
- SUITE 203
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32080-6591
- Phone
- (904) 461-5699
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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