Provider Demographics
NPI:1255464061
Name:MAC ALTERNATIVE THERAPIES INC
Entity Type:Organization
Organization Name:MAC ALTERNATIVE THERAPIES INC
Other - Org Name:MAC THERAPIES, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:CALANDRO
Authorized Official - Suffix:
Authorized Official - Credentials:CNMT LMT
Authorized Official - Phone:727-723-3888
Mailing Address - Street 1:28469 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 402 & 404
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2512
Mailing Address - Country:US
Mailing Address - Phone:727-723-3888
Mailing Address - Fax:727-796-2888
Practice Address - Street 1:28469 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 402 & 404
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2512
Practice Address - Country:US
Practice Address - Phone:727-723-3888
Practice Address - Fax:727-796-2888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 5125225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty