Individual provider · Type 1 NPI
Adam Kornecki, LMT
Massage Therapist · Port Orange, FL
NPI number
1609754407
Active
Practice location
4550 Clyde Morris Blvd Ste E
Port Orange, FL 32129-4080
Mailing address
777 Sandy Hill Cir
Port Orange, FL 32127-7795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA102884 (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 1609754407
Adam Kornecki, LMT's National Provider Identifier is 1609754407, issued on Aug 21, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Orange, FL. The record was last updated on Aug 21, 2025.