Individual provider · Type 1 NPI

Theresa Ann Waldorf-Beman, LMT

Massage Therapist · Orange City, FL

NPI number 1194970210 Active

Practice location

124 Treemont Dr, Suite 190
Orange City, FL 32763-7953

Call (386) 774-7002 Map

Fax (386) 774-7002

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA30874 (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 1194970210

Theresa Ann Waldorf-Beman, LMT's National Provider Identifier is 1194970210, issued on Nov 18, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Orange City, FL. The record was last updated on Nov 18, 2008.