Judith Elaine Liebespach, LMT

Mechanotherapist · Brandon, FL

Individual Active NPI

NPI number 1770801631

Practice location

502 S Kings Ave
Brandon, FL 33511-5922
Phone
(813) 857-5871

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NPI record

NPI
1770801631
Entity type
Individual (Type 1)
Enumeration date
May 17, 2010
Last updated
May 17, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Mechanotherapist Primary 172M00000X MA10753 FL

Mailing address

1832 S Ridge Dr
Valrico, FL 33594-5547
Phone
(813) 653-0459

About Judith Liebespach

Judith Elaine Liebespach, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Mechanotherapist (code 172M00000X). The practice location is 502 S Kings Ave, Brandon, FL 33511-5922. The NPI number 1770801631 was assigned on May 17, 2010 and the record was last updated on May 17, 2010.

Judith Liebespach lists a license in the registry: #MA10753 (FL) for Mechanotherapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Judith Elaine Liebespach, LMT?

The NPI number is 1770801631.

What is the phone number of Judith Liebespach?

The phone number listed for the practice location is (813) 857-5871.

Where is Judith Liebespach located?

502 S Kings Ave, Brandon, FL 33511-5922.

What is the taxonomy code for Judith Liebespach?

The primary taxonomy code is 172M00000X – Mechanotherapist.

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.