MR. KENNETH EDWIN MUCK LMT NPI 1548547367

NPI Information

  • NPI: 1548547367
  • Provider Name: MR. KENNETH EDWIN MUCK, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1490 AVOCADO AVE
    MELBOURNE, FL
    ZIP 32935
  • Phone: (321) 252-5253

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NPI Details

MR. Kenneth Edwin Muck, LMT is a massage therapist in Melbourne, FL. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MR. Kenneth Edwin Muck, LMT NPI is 1548547367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1490 AVOCADO AVE
MELBOURNE, FL
ZIP 32935-532
Phone: (321) 252-5253
Fax: (888) 372-9707

The enumeration date for this NPI number is 11/8/2011 and was last updated on 11/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA29049FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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