Katharine Fannon Summerlin, L.M.T.
Massage Therapist in Tallahassee, FL. Individual provider (NPI-1).
NPI number1265601082
StatusActive
Last updated in NPPESFeb 26, 2008
Details
- NPI
- 1265601082
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katharine Fannon Summerlin
- Credential
- L.M.T.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 26, 2008
- Last updated
- Feb 26, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA40605 | FL | Yes |
Practice location
1304 E 6th AveTallahassee, FL 32303-6506
Phone 850-508-4612 · Fax 850-656-5589
Mailing address
1506 Twin Lakes CirTallahassee, FL 32311-4195
Phone 850-508-4612 · Fax 850-656-5589
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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