Most Relevant Information
Provider Data
| NPI Number: | 1003430265 |
| Provider Name: | CAROLYN MCDANIEL LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA72227 |
Most Important Dates
| Enumeration Date: | 06/03/2020 |
| Last Updated: | 06/03/2020 |
Provider Practice Location
605 W BLOOMINGDALE AVE STE H
BRANDON
FL
335117405
Practice Location Phone/Fax
| Phone: | 8132267429 |
| Fax: |
Provider Mailing Location
605 W BLOOMINGDALE AVE STE H
BRANDON
FL
335117405
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |