Provider Demographics
NPI:1518260017
Name:CILIBERTO, DAWN (LMT)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:
Last Name:CILIBERTO
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 1:3524 CHERRY BLOSSOM CT
Mailing Address - Street 2:UNIT 102
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-4907
Mailing Address - Country:US
Mailing Address - Phone:941-662-0526
Mailing Address - Fax:
Practice Address - Street 1:3524 CHERRY BLOSSOM CT
Practice Address - Street 2:UNIT 102
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-4907
Practice Address - Country:US
Practice Address - Phone:941-662-0526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL50672225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist