Individual provider · Type 1 NPI
Wachena Woodard, MA 43333
Massage Therapist · Brandon, FL
NPI number
1154505709
Active
Practice location
1109 N Parsons Ave, Ste 108 MM21961
Brandon, FL 33510-3105
Mailing address
PO Box 311838
Tampa, FL 33680-3838
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA43333 (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 1154505709
Wachena Woodard, MA 43333's National Provider Identifier is 1154505709, issued on Dec 18, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Brandon, FL. The record was last updated on Dec 2, 2008.