Provider Demographics
NPI:1083859029
Name:SPRINGER, ARLENE (LMT)
Entity Type:Individual
Prefix:MISS
First Name:ARLENE
Middle Name:
Last Name:SPRINGER
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:PO BOX 663
Mailing Address - Street 2:
Mailing Address - City:ELFERS
Mailing Address - State:FL
Mailing Address - Zip Code:34680-0663
Mailing Address - Country:US
Mailing Address - Phone:727-271-6148
Mailing Address - Fax:727-376-0663
Practice Address - Street 1:3012 STARKEY BLVD
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-2175
Practice Address - Country:US
Practice Address - Phone:727-271-6148
Practice Address - Fax:727-376-0663
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 52537225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist