Individual provider · Type 1 NPI
Bonnie Durham, LMT
Massage Therapist · Aledo, TX
NPI number
1326653619
Active
Practice location
11911 Clovite Ct
Aledo, TX 76008-3509
Mailing address
PO Box 121471
Fort Worth, TX 76121-1471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT014694 (TX) |
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 1326653619
Bonnie Durham, LMT's National Provider Identifier is 1326653619, issued on Sep 13, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Aledo, TX. The record was last updated on Sep 13, 2020.