Most Relevant Information
Provider Data
| NPI Number: | 1003431529 |
| Provider Name: | MARTHA MALMBERG LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA81743 |
Most Important Dates
| Enumeration Date: | 06/10/2020 |
| Last Updated: | 06/10/2020 |
Provider Practice Location
397 PALM COAST PKWY SW UNIT 5
PALM COAST
FL
321374777
Practice Location Phone/Fax
| Phone: | 3862834655 |
| Fax: |
Provider Mailing Location
3 BALLENGER LN
PALM COAST
FL
321378853
Provider Mailing Phone/Fax
| Phone: | 8634096648 |
| Fax: |