Individual provider · Type 1 NPI
Bronwen Lundgren, LMT, MMP
Massage Therapist · North Port, FL
NPI number
1013494665
Active
Practice location
2975 Bobcat Village Center Rd Unit 300
North Port, FL 34288-4604
Mailing address
3737 El Jobean Rd # L4
Port Charlotte, FL 33953-5611
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA89184 (FL) |
Massage Therapist: 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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About NPI 1013494665
Bronwen Lundgren, LMT, MMP's National Provider Identifier is 1013494665, issued on Jul 26, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Port, FL. The record was last updated on Jul 26, 2018.