Individual provider · Type 1 NPI
Gregge Forrest Stewart, LMT
Massage Therapist · Port Orange, FL
NPI number
1700042504
Active
Practice location
3959 S Nova Rd Ste 35B
Port Orange, FL 32127-9229
Mailing address
202 Loquat Ln
Port Orange, FL 32127-4837
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA15529 (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 1700042504
Gregge Forrest Stewart, LMT's National Provider Identifier is 1700042504, issued on Jul 31, 2008. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Port Orange, FL. The record was last updated on Dec 4, 2023.