Individual provider · Type 1 NPI

Petra E. Wanzke, LMT, MMP

Massage Therapist · Orlando, FL

NPI number 1174149603 Active

Practice location

3416 Keota Dr
Orlando, FL 32839-8722

Call (407) 307-4174 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA41903 (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 1174149603

Petra E. Wanzke, LMT, MMP's National Provider Identifier is 1174149603, issued on Jun 20, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orlando, FL. The record was last updated on Jun 20, 2020.