| Mr Kenneth Edwin Muck, LMT | |
|
1490 Avocado Ave, Melbourne, FL 32935-6532 | |
| (321) 252-5253 | |
| (888) 372-9707 |
| Full Name | Mr Kenneth Edwin Muck |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1490 Avocado Ave, Melbourne, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548547367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MA29049 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Edwin Muck, LMT 1987 Wallace Ave, Melbourne, FL 32935-3963 Ph: (321) 626-9055 | Mr Kenneth Edwin Muck, LMT 1490 Avocado Ave, Melbourne, FL 32935-6532 Ph: (321) 252-5253 |
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