Burke, Mandy Marvie

Burke, Mandy Marvie is an sole proprietor health care provider with primary practice located at 1278 Cedar Center Dr , Tallahassee FL 32301-4876. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Burke, Mandy Marvie can be contacted via phone (850) 224-4114.

Contact Information

Primary practice address
1278 Cedar Center Dr Tallahassee FL 32301-4876
Phone: (850) 224-4114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA27080 Florida

Profile Details

NPI number 1053455733
LBN Legal business name Burke, Mandy Marvie
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Apr 27th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053455733 NPPES
Florida Other C8596 BLUE CROSS BLUE SHIELD

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