Individual provider · Type 1 NPI
Tara Mizell Bryant, LMT
Massage Therapist · Mayo, FL
NPI number
1245871748
Active
Practice location
348 N Fletcher Ave
Mayo, FL 32066-4502
Mailing address
20090 119th Dr
O Brien, FL 32071-2408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA75897 |
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.
Another provider at this address
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About NPI 1245871748
Tara Mizell Bryant, LMT's National Provider Identifier is 1245871748, issued on Oct 5, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mayo, FL. The record was last updated on Oct 5, 2019.