Individual provider · Type 1 NPI
Ronald G. Dibble, LMT
Massage Therapist · Fort Walton Beach, FL
NPI number
1114223450
Active
Practice location
503 Vermont Ave
Fort Walton Beach, FL 32547-3031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA28420 (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 1114223450
Ronald G. Dibble, LMT's National Provider Identifier is 1114223450, issued on Feb 3, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Feb 3, 2011.