Provider Demographics
NPI:1821222860
Name:MULVIHILL, CAROL JONES (LMT)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:JONES
Last Name:MULVIHILL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14862 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALACHUA
Mailing Address - State:FL
Mailing Address - Zip Code:32615-8590
Mailing Address - Country:US
Mailing Address - Phone:386-365-0592
Mailing Address - Fax:352-240-6215
Practice Address - Street 1:14862 MAIN ST
Practice Address - Street 2:
Practice Address - City:ALACHUA
Practice Address - State:FL
Practice Address - Zip Code:32615-8590
Practice Address - Country:US
Practice Address - Phone:386-365-0592
Practice Address - Fax:352-240-6215
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA55874173C00000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No173C00000XOther Service ProvidersReflexologist