Individual provider · Type 1 NPI
Leonora T. Stullken, L.M.T.
Massage Therapist · Big Pine Key, FL
NPI number
1184859308
Active
Practice location
30570 17th St
Big Pine Key, FL 33043
Mailing address
PO Box 430154
Big Pine Key, FL 33043-0154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA9156 (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.
About NPI 1184859308
Leonora T. Stullken, L.M.T.'s National Provider Identifier is 1184859308, issued on May 18, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Big Pine Key, FL. The record was last updated on May 18, 2009.