Provider Demographics
NPI:1235330184
Name:JONES, CAROLYN BIER (LMT)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:BIER
Last Name:JONES
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 1:220 BELMONT RD APT 8
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-2746
Mailing Address - Country:US
Mailing Address - Phone:850-980-1654
Mailing Address - Fax:850-942-4014
Practice Address - Street 1:1289 CEDAR CENTER DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-4877
Practice Address - Country:US
Practice Address - Phone:850-942-4114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA29216172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA29216OtherLICENSE MASSAGE THERAPIST