Provider Demographics
NPI:1821313768
Name:TRANTER, CANDACE ANN (LMT)
Entity Type:Individual
Prefix:MS
First Name:CANDACE
Middle Name:ANN
Last Name:TRANTER
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 1:4632 VINCENNES BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9105
Mailing Address - Country:US
Mailing Address - Phone:239-542-5600
Mailing Address - Fax:
Practice Address - Street 1:4632 VINCENNES BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9105
Practice Address - Country:US
Practice Address - Phone:239-542-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA4424225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist