Provider Demographics
NPI:1023393758
Name:MAGUIRE, KAREN A (LMT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:MAGUIRE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2291 LINTON RIDGE CIR
Mailing Address - Street 2:B - 2
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-8181
Mailing Address - Country:US
Mailing Address - Phone:561-503-6679
Mailing Address - Fax:
Practice Address - Street 1:2291 LINTON RIDGE CIR
Practice Address - Street 2:B - 2
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-8181
Practice Address - Country:US
Practice Address - Phone:561-503-6679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA15075225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist