Provider Demographics
NPI:1619170941
Name:HAESSLER, ARLENE ELIZABETH (LMT)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:ELIZABETH
Last Name:HAESSLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:557 63RD COURT GULF
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-2705
Mailing Address - Country:US
Mailing Address - Phone:305-292-2331
Mailing Address - Fax:305-289-5375
Practice Address - Street 1:2027 FLAGLER AVE
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-3732
Practice Address - Country:US
Practice Address - Phone:305-292-2331
Practice Address - Fax:305-289-5375
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLMA # 23433225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist