Provider Demographics
NPI:1477202372
Name:MASENHEIMER, FRANCIS JEFFREY (LAC, LMT)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:JEFFREY
Last Name:MASENHEIMER
Suffix:
Gender:M
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 SADDLE VIEW RUN
Mailing Address - Street 2:
Mailing Address - City:OSTEEN
Mailing Address - State:FL
Mailing Address - Zip Code:32764-8876
Mailing Address - Country:US
Mailing Address - Phone:407-952-6215
Mailing Address - Fax:
Practice Address - Street 1:914 BAY RIDGE RD STE 212
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-3994
Practice Address - Country:US
Practice Address - Phone:407-952-6215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-20
Last Update Date:2022-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3101171100000X
MDM05949225700000X
MDU02261171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist