MATILDA PENNER
NPI 1619832359
Massage Therapist in Stuart, FL
- Individual
- Female
- Massage Therapist
About MATILDA PENNER
This page provides the complete NPI Profile along with additional information for Matilda Penner, a provider established in Stuart, Florida with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1619832359 assigned on December 2025. The practitioner's primary taxonomy code is 225700000X with license number MA97705 (FL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1619832359 Verify this NPI
- Provider Name
- MATILDA PENNER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 933 SE FLEMING WAY STUART, FL 34997
- Location Phone
- (561) 677-0601
- Mailing Address
- 933 SE FLEMING WAY STUART, FL 34997
- Mailing Phone
- (561) 677-0601
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-16-2025
- Last Update Date
- 12-16-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- MA97705
- License State
- FL
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619832359, enumerated as an "individual" on December 16, 2025.
The provider is located at 933 SE FLEMING WAY STUART, FL 34997 and the phone number is (561) 677-0601.
Massage Therapist with taxonomy code 225700000X.
