Individual provider · Type 1 NPI

Bethany Derosa, LMT

Massage Therapist · Dade City, FL

NPI number 1730076753 Active

Practice location

5255 Olivet Dr
Dade City, FL 33523-9039

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X104844 (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 1730076753

Bethany Derosa, LMT's National Provider Identifier is 1730076753, issued on Jun 23, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Dade City, FL. The record was last updated on Jun 23, 2025.