Individual provider · Type 1 NPI
Matilda Penner
Massage Therapist · Stuart, FL
NPI number
1619832359
Active
Practice location
933 SE Fleming Way
Stuart, FL 34997-1548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA97705 (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 1619832359
Matilda Penner's National Provider Identifier is 1619832359, issued on Dec 16, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stuart, FL. The record was last updated on Dec 16, 2025.