Individual
HENRIK EDGAR MARTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 CONRAD DR, NEW SMYRNA BEACH, FL 32168-5835
(305) 849-1604
Mailing address
1300 CONRAD DR, NEW SMYRNA BEACH, FL 32168-5835
(305) 849-1604
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61745
FL
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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