Provider Demographics
NPI:1710142351
Name:HART, DENISE M (LMT)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:M
Last Name:HART
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 1:2812 N 16TH ST
Mailing Address - Street 2:APT A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33605-2665
Mailing Address - Country:US
Mailing Address - Phone:813-298-6029
Mailing Address - Fax:
Practice Address - Street 1:10069 N FLORIDA AVE
Practice Address - Street 2:SUITE B8
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7447
Practice Address - Country:US
Practice Address - Phone:813-298-6029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-23
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA 53587225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist