Provider Demographics
NPI:1356118566
Name:BALDINO, CATHERINE M (LMT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:BALDINO
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 1:16206 SURREY DR
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-4138
Mailing Address - Country:US
Mailing Address - Phone:727-255-9613
Mailing Address - Fax:
Practice Address - Street 1:16206 SURREY DR
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-4138
Practice Address - Country:US
Practice Address - Phone:727-247-7378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA48414225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist