Individual provider · Type 1 NPI
Lela Dawn Fortune-Brown, LMT
Massage Therapist · Huntertown, IN
NPI number
1679203996
Active
Practice location
15276 Towne Gardens Ct
Huntertown, IN 46748-9154
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 9911 (TN) |
| Massage Therapist | 225700000X | 3181 (NC) |
| Massage Therapist Primary | 225700000X | 21806385 (IN) |
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 1679203996
Lela Dawn Fortune-Brown, LMT's National Provider Identifier is 1679203996, issued on Jun 11, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Huntertown, IN. The record was last updated on Jun 11, 2022.