Kenneth Edwin Muck, LMT

Massage Therapist · Melbourne, FL

Individual Active NPI

NPI number 1548547367

Practice location

1490 Avocado Ave
Melbourne, FL 32935-6532
Phone
(321) 252-5253
Fax
(888) 372-9707

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NPI record

NPI
1548547367
Entity type
Individual (Type 1)
Enumeration date
November 8, 2011
Last updated
November 8, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X MA29049 FL

Mailing address

1987 Wallace Ave
Melbourne, FL 32935-3963
Phone
(321) 626-9055
Fax
(888) 372-9707

About Kenneth Muck

Kenneth Edwin Muck, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 1490 Avocado Ave, Melbourne, FL 32935-6532. The NPI number 1548547367 was assigned on November 8, 2011 and the record was last updated on November 8, 2011.

Kenneth Muck lists a license in the registry: #MA29049 (FL) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Edwin Muck, LMT?

The NPI number is 1548547367.

What is the phone number of Kenneth Muck?

The phone number listed for the practice location is (321) 252-5253.

Where is Kenneth Muck located?

1490 Avocado Ave, Melbourne, FL 32935-6532.

What is the taxonomy code for Kenneth Muck?

The primary taxonomy code is 225700000X – Massage Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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