Individual provider · Type 1 NPI
Poungsri Vonbernuth, LMT
Massage Therapist · Brandon, FL
NPI number
1295903094
Active
Practice location
110 E Windhorst Rd
Brandon, FL 33510-2524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | MM11331 (FL) |
| Massage Therapist Primary | 225700000X | MA13798 (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.
2 other providers at this address
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About NPI 1295903094
Poungsri Vonbernuth, LMT's National Provider Identifier is 1295903094, issued on Feb 14, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Brandon, FL. The record was last updated on Feb 14, 2008.