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MR. KENNETH EDWIN MUCK LMT
NPI 1548547367
Massage Therapist in Melbourne, FL

Active since November 08, 2011
1490 AVOCADO AVE, MELBOURNE, FL 32935(321) 252-5253(888) 372-9707 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Edwin Muck Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH EDWIN MUCK LMT (NPI 1548547367) is an individual massage therapist in Melbourne, Florida, licensed in Florida (MA29049) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1548547367
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. KENNETH EDWIN MUCKCredential: LMT
Location Address1490 AVOCADO AVEMelbourne, FL 32935-6532
Mailing Address1987 Wallace AveMelbourne, FL 32935-3963 · (321) 626-9055 · Fax (888) 372-9707
Phone(321) 252-5253
Fax(888) 372-9707
Sole ProprietorYes
Enumeration DateNovember 8, 2011
✔ NPI 1548547367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in FL · MA29049
Definition
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.
1490 AVOCADO AVE, Melbourne, FL 32935
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Muck's NPI number?

The NPI number for Kenneth Muck is 1548547367. It was assigned to this individual provider in the NPPES registry on November 8, 2011.

Where is Kenneth Muck located?

Kenneth Muck practices at 1490 Avocado Ave, Melbourne, FL 32935. The listed phone number is (321) 252-5253.

What is Kenneth Muck's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kenneth Muck was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.