Individual provider · Type 1 NPI

Alice Ruth McConnell, L.M.T.

Massage Therapist · Niceville, FL

NPI number 1154537330 Active

Practice location

4554 E Highway 20
Niceville, FL 32578-9755

Mailing address

211 Walker Cir W
Crestview, FL 32539-8339

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA40640 (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 1154537330

Alice Ruth McConnell, L.M.T.'s National Provider Identifier is 1154537330, issued on May 15, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Niceville, FL. The record was last updated on Jul 8, 2007.