Individual
KATHY MARIE MINZENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
49 S ATLANTIC AVE, COCOA BEACH, FL 32931-2713
(321) 783-5592
(321) 783-0558
Mailing address
235 ANDROS AVE, COCOA BEACH, FL 32931-3311
(321) 868-7190
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA16359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA16359
FL MASSAGE NUMBER
FL
Enumeration date
01/22/2007
Last updated
07/08/2007
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