Doctor Name: | CAROL S BYRUM |
NPI Number: | 1649425554 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.R.N.P. |
License Number: | 48871 |
Business Practice Address: | 2400 S Mccall Rd Ste C Englewood, FL - 342245137 |
Business Phone Number: | 9414749314 |
Business Fax Number: | 9414739813 |
Mailing Address: | 2400 S Mccall Rd, Ste C ENGLEWOOD |
State: | FL |
Postal Code: | 342245137 |
Phone Number: | 9414732913 |
Fax Number: | 9414739813 |
NPI Enumeration Date: | 11/19/2008 |
NPI Last Update Date: | 12/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 48871 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |