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Contact Information

REBECCA DIEDERICK, LMT
6103 US-90
MILTON, FL32570
 Phone: 850-400-4463
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for REBECCA DIEDERICK · (Female)

NPI # 1508735341
Status Active
Credentials LMT (Licensed Massage Therapist)
Entity Individual
Enumeration date 10/31/2025
Last updated 10/31/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • FL License # MA68544
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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