Individual
MRS. MANDY MARVIE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1278 CEDAR CENTER DR, TALLAHASSEE, FL 32301-4876
(850) 224-4114
Mailing address
1501 HASOSAW NENE, TALLAHASSEE, FL 32301-5829
(850) 566-4263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA27080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C8596
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/16/2007
Last updated
04/27/2011
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