Provider Demographics
NPI:1225291891
Name:ROBINSON, MARGIE FAYE (LMT)
Entity Type:Individual
Prefix:
First Name:MARGIE
Middle Name:FAYE
Last Name:ROBINSON
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 1:256 SANDY CAY DIRVE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32550-8262
Mailing Address - Country:US
Mailing Address - Phone:850-650-9113
Mailing Address - Fax:
Practice Address - Street 1:256 SANDY CAY DIRVE
Practice Address - Street 2:
Practice Address - City:MIRAMAR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32550-8262
Practice Address - Country:US
Practice Address - Phone:850-650-9113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA21111225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist